Provider Demographics
NPI:1033552864
Name:U GADARIA MD FACS PA
Entity Type:Organization
Organization Name:U GADARIA MD FACS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:UMESH
Authorized Official - Middle Name:G
Authorized Official - Last Name:GADARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-478-0993
Mailing Address - Street 1:1015 E 32ND ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2707
Mailing Address - Country:US
Mailing Address - Phone:512-478-0993
Mailing Address - Fax:512-478-1002
Practice Address - Street 1:1015 E 32ND ST
Practice Address - Street 2:SUITE 208
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2707
Practice Address - Country:US
Practice Address - Phone:512-478-0993
Practice Address - Fax:512-478-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG62952082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00CZ51Medicare UPIN