Provider Demographics
NPI:1457553794
Name:SHIVNANI, SARIKA BHATNAGAR (MD)
Entity Type:Individual
Prefix:
First Name:SARIKA
Middle Name:BHATNAGAR
Last Name:SHIVNANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARIKA
Other - Middle Name:
Other - Last Name:BHATNAGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4708 ALLIANCE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5340
Mailing Address - Country:US
Mailing Address - Phone:469-800-6000
Mailing Address - Fax:
Practice Address - Street 1:4708 ALLIANCE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5340
Practice Address - Country:US
Practice Address - Phone:469-800-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXN9128207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1245235886Medicaid
BP1-0027112OtherINSTITUTIONAL PERMIT
TX1245235886Medicaid