Individual
SAJITA SHIWAKOTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4541 N JOSEY LN STE 110, CARROLLTON, TX 75010-4622
(469) 788-8588
(469) 788-7800
Mailing address
4541 N JOSEY LN STE 110, CARROLLTON, TX 75010-4622
(469) 788-8588
(469) 788-7800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
1114971
TX
363L00000X
Nurse Practitioner
Primary
1114971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473236402
—
TX
Enumeration date
06/14/2023
Last updated
11/16/2024
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