| Evolve Psychiatry Md, Inc. | |
|
5300 Town And Country Blvd Ste 240 Frisco TX 75034-6894 | |
| (631) 949-1008 | |
| Not Available |
| Full Name | Evolve Psychiatry Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5300 Town And Country Blvd Ste 240, Frisco, Texas |
| Authorized Official Name and Position | Rizwan Ahmad (OWNER/PROVIDER) |
| Authorized Official Contact | 6319491008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Psychiatry Md, Inc. 13195 Terlingua Creek Dr Frisco TX 75033-3034 Ph: () - | Evolve Psychiatry Md, Inc. 5300 Town And Country Blvd Ste 240 Frisco TX 75034-6894 Ph: (631) 949-1008 |
| NPI Number | 1659031573 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Medicare PECOS PAC ID | 7810384005 |
|---|---|
| Medicare Enrollment ID | O20220418000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659031573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Oluyemi M Shorunke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053860148 PECOS PAC ID: 1052691839 Enrollment ID: I20161214000129 |
| Provider Name | Rizwan Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144649187 PECOS PAC ID: 3274871181 Enrollment ID: I20190701000860 |
| Provider Name | Ahmed A Montaser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255714390 PECOS PAC ID: 2163848086 Enrollment ID: I20220519001968 |
| Provider Name | Alejandro Perez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275951832 PECOS PAC ID: 9537426846 Enrollment ID: I20221020002512 |
| Provider Name | Shana Susanne Celeste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659026672 PECOS PAC ID: 1355787482 Enrollment ID: I20240312002744 |
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