Provider Demographics
NPI:1285657270
Name:QUALITY PHYSICAL MEDICINE & REHABILITATION PA
Entity Type:Organization
Organization Name:QUALITY PHYSICAL MEDICINE & REHABILITATION PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GIREESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-382-5051
Mailing Address - Street 1:10300 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 160
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-8600
Mailing Address - Country:US
Mailing Address - Phone:214-382-5051
Mailing Address - Fax:214-382-5054
Practice Address - Street 1:10300 N CENTRAL EXPY
Practice Address - Street 2:SUITE 160
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8600
Practice Address - Country:US
Practice Address - Phone:214-382-5051
Practice Address - Fax:214-382-5054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2016-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0932208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1285657270OtherNPI
TX1114928538OtherNPI
TX8D9212Medicare PIN
TX1114928538OtherNPI
TXDF8616Medicare PIN
TXH74058Medicare UPIN
TX8D9212Medicare PIN
TX00868WMedicare PIN