Provider Demographics
NPI:1598990145
Name:SHEDD, ANGELA DIANE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:DIANE
Last Name:SHEDD
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1790 N STONEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7437
Mailing Address - Country:US
Mailing Address - Phone:972-390-9002
Mailing Address - Fax:214-491-3777
Practice Address - Street 1:7150 GREENVILLE AVE
Practice Address - Street 2:100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7900
Practice Address - Country:US
Practice Address - Phone:214-691-6999
Practice Address - Fax:214-691-7902
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2016-06-07
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Provider Licenses
StateLicense IDTaxonomies
TXP6721207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology