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Dr. Manjushree Gautam, MD
Transplant Hepatology Physician in Fort Worth, Texas
NPI 1831172725

Manjushree Gautam is a Transplant Hepatology Physician based in Fort Worth, TX and is specialized in Transplant Hepatology. Manjushree Gautam practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Manjushree Gautam is 1831172725 and holds a License No. 33778 (Texas).

The current practice location address for Manjushree Gautam is 1250 8Th Ave, Fort Worth, TX and can be reached out via phone at 817-922-4675 and via fax at 817-922-4645. You can also correspond with Manjushree Gautam through the mailing address at 1250 8TH AVE, FORT WORTH, TX - 76104-4124 (mailing address contact number: 817-922-4675).

Location: 1250 8Th Ave, Fort Worth, TX, 76104-4124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831172725
Provider Name
Manjushree Gautam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1250 8Th Ave, Fort Worth, TX, 76104-4124
Phone Number
817-922-4675
Fax Number
817-922-4645
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8BN847 01 TX BCBSTX
217199301 05 TX
935554 05 AZ
86080015085259D008 01 AZ TRIWEST
P00278312 01 AZ RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1250 8Th Ave
City
Fort Worth
State
Texas
Zip
76104-4124
Phone Number
817-922-4675
Fax Number
817-922-4645
person
Provider Business Mailing Address Details
Address
1250 8Th Ave
City
Fort Worth
State
Texas
Zip
76104-4124
Phone Number
817-922-4675
Fax Number
817-922-4645
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
N6309 (Texas)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hepatology
Taxonomy
207RI0008X
License No.
N6309 (Texas)
Definition
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Transplant Hepatology
Taxonomy
207RT0003X
License No.
33778 (Arizona)
Definition
An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease.
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