| Aditya Sharma, Pllc | |
|
4510 Medical Center Dr Ste 208 Mckinney TX 75069-1602 | |
| (469) 742-0199 | |
| (972) 542-4106 |
| Full Name | Aditya Sharma, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4510 Medical Center Dr Ste 208, Mckinney, Texas |
| Authorized Official Name and Position | Aditya Sharma (PRINCIPAL) |
| Authorized Official Contact | 3048903166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aditya Sharma, Pllc 4510 Medical Center Dr Ste 208 Mckinney TX 75069-1602 Ph: (469) 742-0199 | Aditya Sharma, Pllc 4510 Medical Center Dr Ste 208 Mckinney TX 75069-1602 Ph: (469) 742-0199 |
| NPI Number | 1881255594 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 06/24/2019 |
| Medicare PECOS PAC ID | 6002146156 |
|---|---|
| Medicare Enrollment ID | O20191002003226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881255594 | NPI | - | NPPES |
| N3304 | Other | TX | TEXAS MEDCIAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Aditya Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659410322 PECOS PAC ID: 2668406737 Enrollment ID: I20091130000349 |
| Provider Name | Peter Forsyth Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609009315 PECOS PAC ID: 9032388855 Enrollment ID: I20110812000369 |
| Provider Name | Desiree Holbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245820232 PECOS PAC ID: 6305244914 Enrollment ID: I20211013000309 |
| Provider Name | Victor Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760137517 PECOS PAC ID: 6305223363 Enrollment ID: I20220512000407 |
| Provider Name | Jessica Lynn Bellows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457037954 PECOS PAC ID: 8921454844 Enrollment ID: I20231030002210 |
| Provider Name | Brandon Da'juan Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104602689 PECOS PAC ID: 8426405374 Enrollment ID: I20231114002543 |
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