Organization
JAY ITALIYA, MD, PLLC
Active
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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