Krishna Pancham

M.D | Pediatric Pulmonology | Male

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Complete Profile:

Krishna Pancham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Krishna Pancham
Credential :	M.D
Gender :	Male

Business Address:

Krishna Pancham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1500 Cooper St Fort Worth, TX, 76104-2710 United States
Phone Number :	682-885-6299
Fax Number :	682-885-1090

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1619107042
NPI Entity Type :	Individual
First Enrolment Date :	20 Jul, 2009
Last Updated On :	15 Jul, 2021

Medicare Participation:

Krishna Pancham participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5092024489
Medicare Enrollment ID :	I20210512001168
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2005
Accepts Medicare?	Yes. Krishna Pancham accepts medicare insurance.

Group Practice Association:

Krishna Pancham is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Krishna Pancham is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Cook Childrens Physician Network	7719884584	201	1500 Cooper St Fort Worth, TX - 761042710 Ph: 6828854007	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Krishna Pancham are as mentioned. Primary taxonomy code for Krishna Pancham, M.D is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0214X	Pediatrics Pediatric Pulmonology	No	47974	KY
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	T0306	TX

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 733784 Dallas, TX, 75373-3784 United States
Phone Number :	682-885-6483
Fax Number :	682-885-3113

Business Location:

Patients can refer following map for directions to Krishna Pancham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.