Provider Demographics
NPI:1699037952
Name:SHARMA, SHEPHALI
Entity Type:Individual
Prefix:
First Name:SHEPHALI
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 MILLS AVE
Mailing Address - Street 2:GINA PROSSER, UTSW AT SETON SHOAL CREEK HOSPITAL
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6309
Mailing Address - Country:US
Mailing Address - Phone:512-324-2036
Mailing Address - Fax:512-324-2084
Practice Address - Street 1:3501 MILLS AVE
Practice Address - Street 2:GINA PROSSER, UTSW AT SETON SHOAL CREEK HOSPITAL
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6309
Practice Address - Country:US
Practice Address - Phone:512-324-2036
Practice Address - Fax:512-324-2084
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100428792084P0804X
CA1179752084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry