Organization Active NPI

Raj Shiwach, Mdpa

  • Physician Assistant
  • Desoto, TX
National Provider Identifier
1861881112
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09191 Issued in TX
Legal business name
RAJ SHIWACH, MDPA
Practice address
941 York Dr
Suite 205
Desoto, TX 75115-2065
Phone
(972) 283-6286
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Dr. Rajinder Shiwach, MDNPI 1992740278
Title
Medical Doctor
Phone
(972) 283-6286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA09191 TX Primary

Addresses

Primary practice location

941 York Dr
Suite 205
Desoto, TX 75115-2065

Mailing address

941 York Dr
Suite 205
Desoto, TX 75115-2065

National Provider Directory

National Provider Directory
Tax ID family
Rajshiwach MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

941 York Dr
Ste 205
Desoto, TX 75115
Phone (972) 283-6286

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1861881112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 YORK DR",
            "address_2": "SUITE 205",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 YORK DR",
            "address_2": "SUITE 205",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152065",
            "telephone_number": "972-283-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ SHIWACH, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "SHIWACH",
        "authorized_official_first_name": "RAJINDER",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "972-283-6286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.