Provider Demographics
NPI:1154301208
Name:GADARIA, UMESHCHANDRA GIRDHAR (MD)
Entity type:Individual
Prefix:
First Name:UMESHCHANDRA
Middle Name:GIRDHAR
Last Name:GADARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 E 32ND ST
Mailing Address - Street 2:#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:#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
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG62952082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0978074444-01Medicaid
TXBC00CZ51OtherBC/BS
TXBC00CZ51OtherBC/BS
TX0978074444-01Medicaid