Shiraz P Tata (NPI# 1336298504, PAC ID# 4385980812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1336298504 |
| PAC ID by PECOS | 4385980812 |
| Professional Enrollment ID | I20190103003268 |
| Full Name | Shiraz P Tata |
| Address |
6072 Brynwood Dr Suite 107 Rockford IL 61114-5829 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6072 Brynwood Dr, Suite 107, Rockford, IL 61114-5829 |
| Street Address |
6072 BRYNWOOD DR SUITE 107 |
| City | ROCKFORD |
| State | IL |
| Zip | 61114-5829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel E Grohens | Clinical Social Worker | 6072 Brynwood Dr, Suite 208, Rockford, IL 61114-5829 | |
| Jack V Rodriquez | Psychiatry | 6072 Brynwood Dr, Suite 205, Rockford, IL 61114-5829 | |
| Cheryl L Mcardle Culhane | Clinical Social Worker | 6072 Brynwood Dr, Suite 107, Rockford, IL 61114-5829 | |
| Judith R Trigg | Psychologist, Clinical | 6072 Brynwood Dr, Suite 105, Rockford, IL 61114-5829 | |
| Debra A Prichard Hurt | Clinical Social Worker | 6072 Brynwood Dr, Suite 208, Rockford, IL 61114-5829 | |
| William Cecil Hellyer | Occupational Therapy | Brynwood Myofascial Therapy | 6072 Brynwood Dr, Suite 102, Rockford, IL 61114-5829 |
| Mary C Fairchild | Clinical Social Worker | 6072 Brynwood Dr, Suite 201, Rockford, IL 61114-5829 | |
| Julia C Gordon | Clinical Social Worker | 6072 Brynwood Dr, Suite 201, Rockford, IL 61114-5829 | |
| Julie K Barthels | Clinical Social Worker | 6072 Brynwood Dr, Suite 201, Rockford, IL 61114-5829 | |
| Jessica C Dannenmaier | Psychologist, Clinical | 6072 Brynwood Dr, Suite 105, Rockford, IL 61114-5829 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Grevious | Plastic and Reconstructive Surgery | Rockford Health Physician | 8201 E Riverside Blvd, Rockford, IL 61114-2300 |
| Fawaz Ahmad | Neurology | Rockford Health Physician | 8201 E Riverside Blvd, Rockford, IL 61114-2300 |
| Yifei Du | Family Medicine | Campbell Health Solutions Sc | 6451 E Riverside Blvd, Rockford, IL 61114-4421 |
| Pirojna Jantra | Physical Medicine and Rehabilitation | Rockford Rehabilitation Medicine, Sc | 6447 E Riverside Blvd, Rockford, IL 61114-4421 |
| Denise Crute | Neurosurgery | Cevene Care Clinic Inc | 6451 E Riverside Blvd, Suite 103, Rockford, IL 61114-4421 |
| Dawn M Mansfield | Physical Therapy | Cevene Care Clinic Inc | 6451 E Riverside Blvd, Suite 103, Rockford, IL 61114-4421 |
| Mary C White | Podiatry | 6451 E Riverside Blvd, Suite 104, Rockford, IL 61114-4421 | |
| Joe Osaben | Pain Management | Cevene Care Clinic Inc | 6451 E Riverside Blvd, Suite 103, Rockford, IL 61114-4421 |
| Jason Patrick Croxford | Chiropractic | Cevene Care Clinic Inc | 6451 E Riverside Blvd, Suite 103, Rockford, IL 61114-4421 |
| Edith L Hilton | Nurse Practitioner | Cevene Care Clinic Inc | 6451 E Riverside Blvd, Rockford, IL 61114-4421 |
| Find all physicians in zip 61114 | |||
| City | ROCKFORD |
| Zip Code | 61114 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ROCKFORD + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Shiraz P Tata.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.