Individual
TANIA PURKAYASTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 W COLLEGE ST STE 130, GRAPEVINE, TX 76051-3575
(214) 689-7806
(214) 689-5970
Mailing address
1600 W COLLEGE ST STE 130, GRAPEVINE, TX 76051-3575
(214) 689-7806
(214) 689-5970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
228749
NY
207RI0200X
Infectious Disease Physician
Primary
N2253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207526901
—
TX
Enumeration date
11/07/2006
Last updated
06/16/2023
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