ZAKRAUS KUNAL MAHDAVI (NPI# 1235459371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235459371 |
| Entity Type | Individual |
| Full Name | ZAKRAUS KUNAL MAHDAVI |
| Credential | MD |
| Practice Address |
1325 Pennsylvania Ave Ste 890 Fort Worth TX 76104-2145 |
| Practice Telephone | (817) 250-4280 |
| Practice Fax Number | 8172504281 |
| Mailing Telephone | (817) 250-4280 |
| Mailing Fax Number | 8172504281 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2017-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Q2337 | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Q2337 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
Q2337 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1325 PENNSYLVANIA AVE STE 890 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152400 | Diana Elizabeth Wilson | Neurological Surgery | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2005-08-25 |
| 1982201091 | Mackenzie Ann Warner | Physician Assistant | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2020-10-02 |
| 1861950966 | Kathryn Barberena | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2019-03-07 |
| 1134601909 | Melynda Marie Allesandro | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2018-08-29 |
| 1013423839 | Shiny C Joice | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2017-12-15 |
| 1740702927 | Kelly Elise Olsen | Physician Assistant | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2017-07-10 |
| 1659806040 | Kacie Johnson | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2017-04-24 |
| 1710412374 | Anna L Brown | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2017-04-20 |
| 1972053312 | Erin Swelnis | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2016-10-10 |
| 1134676349 | Ashton Leanne Parham | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2084A2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurocritical Care |
| The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
| Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752041 | Heritage Neurology Pa | Psychiatry & Neurology | 2270 Joe Battle Blvd Ste Q, El Paso, TX 79938-2610 | 2018-05-31 |
| 1437697265 | Sun Neuro Pa | Psychiatry & Neurology | 10657 Vista Del Sol Dr Ste F, El Paso, TX 79935-4504 | 2017-01-31 |
| 1295960953 | Ali Seifi | Psychiatry & Neurology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2009-05-26 |
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on ZAKRAUS KUNAL MAHDAVI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.