MEDICARE: POURISKA KIVANANY

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
1	207W00000X	Ophthalmology Physician	W5407	TX

General Provider Information

NPI Number	:	1932840626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	POURISKA KIVANANY

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-5347
Country	:	US
Telephone Number	:	214-645-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	5303 HARRY HINES BLVD FL 6
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7208
Country	:	US
Telephone Number	:	214-645-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2022
Last Update Date	:	06/01/2026

Similar Medicare Providers

1538801063 — AISHWARYA BHAN
Practice Location Address:

5303 HARRY HINES BLVD FL 6
DALLAS, TX
75390-7208

Practice Phone: 214-645-2020
Practice Fax:

1447561469 — NISHIT HARISHBHAI PATEL MD
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-7208

Practice Phone: 214-456-7000
Practice Fax: 214-456-8132

1528024098 — PHILIP RASKIN MD
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-7208

Practice Phone: 214-645-2868
Practice Fax: 214-648-4854

1679677942 — DR. ALBERT DEE ROBERTS MD
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-7208

Practice Phone: 214-645-0624
Practice Fax: 214-645-0078

1558365510 — DAVID EDWARD ROGERS M.D.
Practice Location Address:

5323 HARRY HINES BOULEVARD
DALLAS, TX
75390-7208

Practice Phone: 214-645-0624
Practice Fax: 214-645-0078

1336132505 — JULIE SUN MD
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-7208

Practice Phone: 214-648-3280
Practice Fax: 214-648-7611

Directions to “ POURISKA KIVANANY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.