RAJ.SHIWACH, M.D., P.A. (NPI# 1750589016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750589016 |
| Entity Type | Organization |
| Organization Name | RAJ.SHIWACH, M.D., P.A. |
| Practice Address |
941 York Dr Suite 205 Desoto TX 75115-2065 |
| Practice Telephone | 9722836286 |
| Practice Fax Number | 9723318748 |
| Mailing Telephone | 9722836286 |
| Mailing Fax Number | 2142174819 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-09-11 |
| Authorized Official Name | DR. RAJINDER S. SHIWACH (CEO/PRESIDENT) |
| Authorized Official Telephone | 9722836286 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | RAJ.SHIWACH, M.D., P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
K2288 | TX | Ambulatory Health Care Facilities |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
K2288 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1408171-01 | 05 |
| Street Address |
941 YORK DR SUITE 205 |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770033011 | Linda Nelson | Counselor | 941 York Dr, 205, Desoto, TX 75115-2065 | 2016-10-11 |
| 1134591753 | Christy Nneka Olloh | Nurse Practitioner | 941 York Dr, Desoto, TX 75115-2065 | 2015-10-22 |
| 1861881112 | Raj Shiwach, Mdpa | Physician Assistant | 941 York Dr, Suite 205, Desoto, TX 75115-2065 | 2015-01-09 |
| 1235478405 | Benjamin C Okuche | Pharmacist | 941 York Dr, Desoto, TX 75115-2065 | 2013-02-08 |
| 1255606349 | Charlsa Y Placker | Counselor | 941 York Dr, 205, Desoto, TX 75115-2065 | 2012-03-21 |
| 1982840591 | Raj.shiwach, Md, Pa | Clinic/Center | 941 York Dr, 205, Desoto, TX 75115-2065 | 2009-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508335050 | Anita Shiwach | Psychiatry & Neurology | 941 York Dr Ste 205, Desoto, TX 75115-2066 | 2018-11-14 |
| 1891816617 | Metroplex Medlink Pa | Psychiatry & Neurology | 2000 North Old Hickory Trail, Desoto, TX 75115-7809 | 2007-04-02 |
| 1528075686 | Kochuparampil Thomas Varghese | Psychiatry & Neurology | 1704 N Hampton Rd, Suite 204, Desoto, TX 75115-8623 | 2006-08-02 |
| 1992740278 | Rajinder Shiwach | Psychiatry & Neurology | 941 York Drive Ste 205, Desoto, TX 75115-2242 | 2006-06-19 |
| 1639147846 | Pamela G Hamilton | Psychiatry & Neurology | 1801 N Hampton Rd, Suite 315, Desoto, TX 75115-2391 | 2006-03-14 |
| 1053834549 | Psych Resolutions | Psychiatry & Neurology | 800 Kirnwood Dr, Desoto, TX 75115-2000 | 2017-07-17 |
| 1306201900 | Ayodele Abraham Md Pllc | Psychiatry & Neurology | 800 Kirnwood Dr, Desoto, TX 75115-2000 | 2015-12-23 |
| 1780094649 | Psych Help Pllc | Psychiatry & Neurology | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2014-04-30 |
| 1669898292 | Mental Health Services, Pllc | Psychiatry & Neurology | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2014-03-06 |
| 1013137561 | Moses Ramos | Psychiatry & Neurology | 1813 N Westmoreland Rd, Desoto, TX 75115-2269 | 2007-04-26 |
| Find all providers in DESOTO | ||||
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| 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.