Blue Sky Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M9791 Issued in TX

Legal business name

BLUE SKY HEALTH

Practice address

407 N Cedar Ridge Dr
#320
Duncanville, TX 75116-3197

Phone

(972) 709-7556

Fax

(972) 709-7611

NPI assigned

May 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shahzad Allawala, MD

Title

Cfo

Phone

(970) 709-7556

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1003135831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 687",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75123",
            "telephone_number": "972-709-7556",
            "fax_number": "972-709-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N CEDAR RIDGE DR",
            "address_2": "#320",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163197",
            "telephone_number": "972-709-7556",
            "fax_number": "972-709-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ALLAWALA",
        "authorized_official_first_name": "SHAHZAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-709-7556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M9791",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "M9791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.