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NPI Code Detail

MEDICARE: ARAVIND GANGASANI MD

MEDICARE:   ARAVIND  GANGASANI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianJ8244TX
2207RC0000XCardiovascular Disease PhysicianJ8244TX
3207RI0011XInterventional Cardiology PhysicianJ8244TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
320387OTHEROKMEDICAL LICENSE

General Provider Information

NPI Number : 1750387759
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARAVIND GANGASANI MD
Provider Business Mailing Address
First Line : 5012 S US HIGHWAY 75 STE 300
Second Line : ATTN. BILLING
City : DENISON
State : TX
Zip : 75020-4589
Country : US
Telephone Number : 903-465-3624
Fax Number : 903-465-3973
Provider Business Practice Location Address
First Line : 5026 POOL ROAD
Second Line :
City : DENISON
State : TX
Zip : 75020-4595
Country : US
Telephone Number : 903-465-3624
Fax Number : 903-465-3973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 10/09/2017

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Directions to “ ARAVIND GANGASANI MD” Practice Location

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