Healthcare Provider Details
I. General information
NPI: 1811539885
Provider Name (Legal Business Name): R2L INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/11/2019
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5899 PRESTON RD STE 1302
FRISCO TX
75034-9595
US
IV. Provider business mailing address
5899 PRESTON RD STE 1302
FRISCO TX
75034-9595
US
V. Phone/Fax
- Phone: 325-340-1649
- Fax: 325-340-1649
- Phone: 248-613-3673
- Fax: 248-498-6230
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHOPANA
GANPATH
Title or Position: OWNER
Credential: MD
Phone: 248-613-3673