Individual
FAISAL Q JHANDIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2831 E PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75082-3561
(469) 204-2021
(469) 204-2036
Mailing address
3400 W WHEATLAND RD, PAV III STE#360, DALLAS, TX 75237-4408
(214) 884-4725
(214) 884-4762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L4472
TX
208M00000X
Hospitalist Physician
L4472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152685703
—
TX
01
—
P00061220
MEDICARE RAILROAD
TX
Enumeration date
06/04/2006
Last updated
07/01/2016
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