Organization
RAJ SHIWACH, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI SMITH (ACCOUNTANT)
(469) 964-6827
Entity
Organization
Contact information
Practice address
941 YORK DR, STE 200, DESOTO, TX 75115-2066
(214) 884-5601
(214) 452-3060
Mailing address
941 YORK DR, STE 200, DESOTO, TX 75115-2066
(214) 884-5601
(214) 452-3060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K2288
TX
261QM0850X
Adult Mental Health Clinic/Center
K2288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1408171-01
—
TX
Enumeration date
07/10/2007
Last updated
04/27/2026
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