Ragha Divya Gandra (NPI# 1861789687, PAC ID# 7911128665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861789687 |
| PAC ID by PECOS | 7911128665 |
| Professional Enrollment ID | I20141021002141 |
| Full Name | Ragha Divya Gandra |
| Organization Legal Name | PERMIAN PREMIER HEALTH SERVICES INC |
| Address |
605 E 4th St 300 Steward Medical Group of Texas Odessa TX 79761-5100 |
| Phone Number | 4323374347 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8426051293 |
| Number of Group Practice Members | 140 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450661 | ODESSA REGIONAL MEDICAL CENTER |
| 450132 | MEDICAL CENTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 605 E 4th St, 300 Steward Medical Group of Texas, Odessa, TX 79761-5100 | 4323374347 | PERMIAN PREMIER HEALTH SERVICES INC |
| Organization Legal Name | PERMIAN PREMIER HEALTH SERVICES INC |
| Physicians | 114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordon Pittman | Nurse Practitioner | Permian Premier Health Services Inc | 2162 Texas Ave, Bridge City, TX 77611-2838 |
| Michael Janice | General Surgery | Permian Premier Health Services Inc | 408 N Hancock Ave, Steward Medical Group of Texas, Odessa, TX 79761-5140 |
| Syeeda Alam | Family Medicine | Permian Premier Health Services Inc | 3001 W University Blvd, Steward Medical Group of Texas, Odessa, TX 79764-7129 |
| Vicky Bakhos Webb | Family Medicine | Permian Premier Health Services Inc | 1701 N Loop 250, Steward Medical Group of Texas, Midland, TX 79707-6002 |
| Crystal Stephens | Nurse Practitioner | Permian Premier Health Services Inc | 6510 Folsom Dr, Beaumont, TX 77706-7274 |
| Vernon Nathaniel Johnson | Family Medicine | Permian Premier Health Services Inc | 910 S Main St, Steward Medical Group of Texas, Big Spring, TX 79720-2928 |
| Tiffany L Vaught | Nurse Practitioner | Permian Premier Health Services Inc | 605 E 4th St, Odessa, TX 79761-5100 |
| Ashley W Walters | Nurse Practitioner | Permian Premier Health Services Inc | 1409 S Hwy 69, Steward Medical Group of Texas, Nederland, TX 77627-7842 |
| Phuong T Tran | Nurse Practitioner | Permian Premier Health Services Inc | 520 S Twin City Hwy 102, Steward Medical Group of Texas, Nederland, TX 77627-4246 |
| Tho V Tran | Psychiatry | Permian Premier Health Services Inc | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Street Address |
605 E 4TH ST 300 STEWARD MEDICAL GROUP OF TEXAS |
| City | ODESSA |
| State | TX |
| Zip | 79761-5100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany L Vaught | Nurse Practitioner | Permian Premier Health Services Inc | 605 E 4th St, Odessa, TX 79761-5100 |
| Charles E Miller | Optometry | Charles E Miller Od Sc | 605 E 4th St, Marshfield, WI 54449-4565 |
| Raja B Naidu | Cardiovascular Disease (cardiology) | Permian Premier Health Services Inc | 605 E 4th St, 203 Steward Medical Group of Texas, Odessa, TX 79761-5100 |
| Elizabeth Sanders | Optometry | Charles E Miller Od Sc | 605 E 4th St, Marshfield, WI 54449-4565 |
| Jayaram B Naidu | Internal Medicine | Permian Premier Health Services Inc | 605 E 4th St, 300 Steward Medical Group of Texas, Odessa, TX 79761-5100 |
| Stephen C. Weatherford | Thoracic Surgery | Permian Premier Health Services Inc | 605 E 4th St, Suite 300, Odessa, TX 79761-5100 |
| Shana M Turbyfill | Nurse Practitioner | Permian Premier Health Services Inc | 605 E 4th St, Suite 300, Odessa, TX 79761-5100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert F Demuro Jr. | Physician Assistant | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Ravi Medi | Psychiatry | 2626 Jbs Pkwy, C129, Odessa, TX 79761 | |
| Benjamin J Turnbow | Orthopedic Surgery | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Andrew M Allbright | Nurse Practitioner | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Brian W Griffin | Nurse Practitioner | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Brandon Joseph Pepper | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| David R Godino | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Amber G Mcmullan | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Joanie Marie Weber | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Megan Leonard | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Find all physicians in zip 79761 | |||
| City | ODESSA |
| Zip Code | 79761 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ODESSA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ragha Divya Gandra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.