Individual
DR. MADHAVI GAVIRNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2909 MITCHELL BLVD, FT WORTH, TX 76105-4642
(817) 625-4254
(817) 740-8612
Mailing address
2909 MITCHELL BLVD, FORT WORTH, TX 76105-4642
(817) 625-4254
(817) 740-8612
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
53236
TN
208000000X
Pediatrics Physician
Primary
Q8890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3714470
GROUP MEDICARE
TN
Enumeration date
06/27/2012
Last updated
04/16/2025
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