| Raj Shiwach, Md, Pa | |
|
941 York Dr Suite 200 Desoto TX 75115-2066 | |
| (214) 884-5601 | |
| (214) 452-3060 |
| Full Name | Raj Shiwach, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 941 York Dr, Desoto, Texas |
| Authorized Official Name and Position | Sherri Smith (ACCOUNTANT) |
| Authorized Official Contact | 4699646827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raj Shiwach, Md, Pa 941 York Dr Suite 200 Desoto TX 75115-2066 Ph: (214) 884-5601 | Raj Shiwach, Md, Pa 941 York Dr Suite 200 Desoto TX 75115-2066 Ph: (214) 884-5601 |
| NPI Number | 1750589016 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 03/03/2026 |
| Certification Date | 03/03/2026 |
| Medicare PECOS PAC ID | 4587744560 |
|---|---|
| Medicare Enrollment ID | O20080307000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750589016 | NPI | - | NPPES |
| 1408171-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | K2288 (Texas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | K2288 (Texas) | Primary |
| Provider Name | Rajinder S Shiwach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992740278 PECOS PAC ID: 2466540190 Enrollment ID: I20080307000605 |
| Provider Name | Innocent Omale |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497385645 PECOS PAC ID: 4486074051 Enrollment ID: I20201020002383 |
| Provider Name | Oyenike O Ogunmekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154914554 PECOS PAC ID: 3476962309 Enrollment ID: I20210506000092 |
| Provider Name | Charlsa Y Placker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255606349 PECOS PAC ID: 0749722296 Enrollment ID: I20240612000232 |
| Provider Name | Judith Nyanchera Nyairo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770202988 PECOS PAC ID: 6800258922 Enrollment ID: I20240830000318 |
| Provider Name | Ihuoma Nwachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124787072 PECOS PAC ID: 3870032048 Enrollment ID: I20240902000425 |
| Provider Name | Winifred Obianuju Uzoigwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922712470 PECOS PAC ID: 4385178730 Enrollment ID: I20241107004310 |
| Provider Name | Innocentia Adaure Eronwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992388508 PECOS PAC ID: 7517491335 Enrollment ID: I20241115000007 |
Primrose Health Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 N Hampton Rd Ste 300, Desoto, TX 75115 Phone: 469-222-1200 Fax: 214-432-1700 | |
Tork Terapi Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1636 N Hampton Rd Ste 101, Desoto, TX 75115 Phone: 830-822-8225 Fax: 972-224-0711 | |
Farida .yousuf.ali, M.d., Pa. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2000 Old Hickory Trl, Desoto, TX 75115 Phone: 214-774-2933 | |
Psych Resolutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Kirnwood Dr, Desoto, TX 75115 Phone: 972-743-4200 Fax: 972-692-0641 | |
Purposeful Elevation Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1636 N Hampton Rd Ste 215, Desoto, TX 75115 Phone: 469-491-0820 | |
Mind Renwal Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1636 N Hampton Rd, Suite 101, Desoto, TX 75115 Phone: 817-658-3812 | |
Love N Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1024 Rosemont Dr, Desoto, TX 75115 Phone: 214-714-1477 |