Provider Demographics
NPI:1548228125
Name:SHRESTHA, JHARANA (MD)
Entity Type:Individual
Prefix:
First Name:JHARANA
Middle Name:
Last Name:SHRESTHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 E ANDERSON ST STE 102
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5709
Mailing Address - Country:US
Mailing Address - Phone:817-341-7246
Mailing Address - Fax:817-341-7245
Practice Address - Street 1:716 E ANDERSON ST STE 102
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5709
Practice Address - Country:US
Practice Address - Phone:817-341-7246
Practice Address - Fax:817-341-7245
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3935207RR0500X
TXK8490207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193203001Medicaid
AR154143001Medicaid
ARG46037Medicare UPIN
AR154143001Medicaid