Organization
JIYA MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH KACHHDIYA (PRESIDENT)
(469) 453-8118
Entity
Organization
Contact information
Practice address
7 MEDICAL PKWY, DALLAS, TX 75234-7829
(469) 453-8118
Mailing address
PO BOX 251104, PLANO, TX 75025-1104
(214) 836-6676
(678) 270-9999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
763564
MEDICARE TX
TX
Enumeration date
01/18/2019
Last updated
08/12/2024
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