Jiya Medical Group Pllc | |
7 Medical Pkwy Dallas TX 75234-7829 | |
(469) 453-8118 | |
Not Available |
Full Name | Jiya Medical Group Pllc |
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Speciality | Internal Medicine |
Location | 7 Medical Pkwy, Dallas, Texas |
Authorized Official Name and Position | Suresh Kachhdiya (PRESIDENT) |
Authorized Official Contact | 4694538118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jiya Medical Group Pllc Po Box 251104 Plano TX 75025-1104 Ph: (214) 836-6676 | Jiya Medical Group Pllc 7 Medical Pkwy Dallas TX 75234-7829 Ph: (469) 453-8118 |
NPI Number | 1154895563 |
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Provider Enumeration Date | 01/18/2019 |
Last Update Date | 08/12/2024 |
Medicare PECOS PAC ID | 4587902747 |
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Medicare Enrollment ID | O20190213001419 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154895563 | NPI | - | NPPES |
763564 | Other | TX | MEDICARE TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Suresh Kachhdiya |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629365671 PECOS PAC ID: 5597986737 Enrollment ID: I20141031001445 |
Provider Name | Aman Jyoti Grewal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942674270 PECOS PAC ID: 3779889415 Enrollment ID: I20160331002236 |
Provider Name | Hardik S Mehta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528545233 PECOS PAC ID: 5294084836 Enrollment ID: I20180815002363 |
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