MEDICARE: ADITYA SHARMA, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician
2	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N3304	OTHER	TX	TEXAS MEDCIAL BOARD

General Provider Information

NPI Number	:	1881255594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADITYA SHARMA, PLLC

Provider Business Mailing Address
First Line	:	4201 MEDICAL CENTER DR STE 200
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-1769
Country	:	US
Telephone Number	:	469-742-0199
Fax Number	:	972-542-4106

Provider Business Practice Location Address
First Line	:	4201 MEDICAL CENTER DR STE 200
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-1769
Country	:	US
Telephone Number	:	469-742-0199
Fax Number	:	972-542-4106

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	KELLEY AZUARA
Credential	:
Telephone Number	:	469-742-0199

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	04/14/2026

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