Raj.shiwach, M.d., P.a. | |
941 York Dr Suite 205 Desoto TX 75115-2065 | |
(972) 283-6286 | |
(972) 331-8748 |
Full Name | Raj.shiwach, M.d., P.a. |
---|---|
Speciality | Psychiatry & Neurology |
Location | 941 York Dr, Desoto, Texas |
Authorized Official Name and Position | Rajinder S. Shiwach (CEO/PRESIDENT) |
Authorized Official Contact | 9722836286 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raj.shiwach, M.d., P.a. 941 York Dr Suite 205 Desoto TX 75115-2065 Ph: (972) 283-6286 | Raj.shiwach, M.d., P.a. 941 York Dr Suite 205 Desoto TX 75115-2065 Ph: (972) 283-6286 |
NPI Number | 1750589016 |
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Provider Enumeration Date | 07/10/2007 |
Last Update Date | 09/11/2012 |
Medicare PECOS PAC ID | 4587744560 |
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Medicare Enrollment ID | O20080307000607 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750589016 | NPI | - | NPPES |
1408171-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | K2288 (Texas) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | K2288 (Texas) | Secondary |
Provider Name | Rajinder S Shiwach |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992740278 PECOS PAC ID: 2466540190 Enrollment ID: I20080307000605 |
Provider Name | Innocent Omale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326548637 PECOS PAC ID: 6608127279 Enrollment ID: I20180920000822 |
Provider Name | Roel Sepulveda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326518085 PECOS PAC ID: 2163764085 Enrollment ID: I20190425000349 |
Provider Name | Babatunde Thanni Shittu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497385645 PECOS PAC ID: 4486074051 Enrollment ID: I20201020002383 |
Provider Name | Charlsa Y Placker |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1255606349 PECOS PAC ID: 0749722296 Enrollment ID: I20240612000232 |
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