Provider Demographics
NPI:1245506617
Name:BILEY, SHARHONDA ALICIA (MD)
Entity type:Individual
Prefix:MISS
First Name:SHARHONDA
Middle Name:ALICIA
Last Name:BILEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:919 HIDDEN RDG
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3813
Mailing Address - Country:US
Mailing Address - Phone:469-282-2711
Mailing Address - Fax:469-282-2609
Practice Address - Street 1:3311 PRESCOTT RD
Practice Address - Street 2:STE 410
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3900
Practice Address - Country:US
Practice Address - Phone:318-442-2400
Practice Address - Fax:318-442-2427
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
LA300700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2196545Medicaid
LA506894TJBAMedicare PIN