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NPI Code Detail

MEDICARE: KHYATI HANDA

MEDICARE: KHYATI HANDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry40886TX
21223P0700XProsthodontics40886TX

General Provider Information

NPI Number : 1558193805
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHYATI HANDA
Provider Business Mailing Address
First Line : 6451 TRANQUILO APT 1052
Second Line :
City : IRVING
State : TX
Zip : 75039-3165
Country : US
Telephone Number : 917-518-6642
Fax Number :
Provider Business Practice Location Address
First Line : 3030 LYNDON B JOHNSON FWY STE 1700
Second Line :
City : DALLAS
State : TX
Zip : 75234-2759
Country : US
Telephone Number : 469-658-8911
Fax Number : 972-243-6059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2024
Last Update Date : 12/09/2025

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Directions to “ KHYATI HANDA ” Practice Location

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