Individual
NISHENDU M. VASAVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 FAIRWAY DR., SUITE 200, CARROLLTON, TX 75010
(972) 221-1741
(972) 939-2822
Mailing address
4100 FAIRWAY DR., SUITE 200, CARROLLTON, TX 75010
(972) 221-1741
(972) 939-2822
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F2490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034857501
—
TX
05
—
034857502
—
TX
05
—
200105580A
—
OK
Enumeration date
11/15/2006
Last updated
03/22/2019
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