| Reshaped PLLC | |
|
2008 E Hebron Pkwy #114 Carrollton TX 75007 | |
| (469) 431-0544 | |
| Not Available |
| Full Name | Reshaped PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2008 E Hebron Pkwy #114, Carrollton, Texas |
| Authorized Official Name and Position | Sharlene Karmini Selvaratnam (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4694310544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reshaped PLLC 2008 E Hebron Pkwy Ste 114 Carrollton TX 75007-1601 Ph: (469) 431-0544 | Reshaped PLLC 2008 E Hebron Pkwy #114 Carrollton TX 75007 Ph: (469) 431-0544 |
| NPI Number | 1184106510 |
|---|---|
| Provider Enumeration Date | 09/01/2018 |
| Last Update Date | 06/29/2024 |
| Certification Date | 06/29/2024 |
| Medicare PECOS PAC ID | 9638419765 |
|---|---|
| Medicare Enrollment ID | O20190327000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184106510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | Q7467 (Texas) | Primary |
| Provider Name | Melissa E Canter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679898381 PECOS PAC ID: 3476747908 Enrollment ID: I20101028001330 |
| Provider Name | Meagan G Duncan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568865434 PECOS PAC ID: 8921321134 Enrollment ID: I20141219000258 |
| Provider Name | Thuha N Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598908410 PECOS PAC ID: 8426365867 Enrollment ID: I20150916002647 |
| Provider Name | Sharlene Selvaratnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972703957 PECOS PAC ID: 8729267034 Enrollment ID: I20190416001177 |
| Provider Name | Pearl Guerzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851599765 PECOS PAC ID: 7416140124 Enrollment ID: I20230411002276 |
| Provider Name | Aisha Javed Khan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992579619 PECOS PAC ID: 9537518725 Enrollment ID: I20231213002401 |
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