# JIYA MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154895563
- **Authorized official:** DR. SURESH KACHHDIYA (PRESIDENT)
- **Authorized official phone:** (469) 453-8118

## Contact information

- **Practice address:** 7 MEDICAL PKWY, DALLAS, TX 75234-7829
- **Practice address phone:** (469) 453-8118
- **Mailing address:** PO BOX 251104, PLANO, TX 75025-1104
- **Mailing address phone:** (214) 836-6676
- **Mailing address fax:** (678) 270-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2019
- **Last updated:** 08/12/2024