Organization
JAY ITALIYA, MD, PLLC
Active
Other names
Cultivate Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BHAGWAN ITALIYA MD (PSYCHIATRIST)
(214) 458-3608
Entity
Organization
Contact information
Practice address
13747 MONTFORT DR STE 320, DALLAS, TX 75240-4454
(972) 200-2426
Mailing address
3916 TUMBRIL LN, PLANO, TX 75023-5713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
02/15/2024
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