Healthcare Provider Details

I. General information

NPI: 1790316701
Provider Name (Legal Business Name): KRUTI DAJEE M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2745 VIRGINIA PKWY STE 300
MCKINNEY TX
75071-4915
US

IV. Provider business mailing address

2745 VIRGINIA PKWY STE 300
MCKINNEY TX
75071-4915
US

V. Phone/Fax

Practice location:
  • Phone: 469-343-4231
  • Fax: 469-466-6120
Mailing address:
  • Phone: 214-564-6550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KRUTI P DAJEE
Title or Position: PRESIDENT
Credential: MD
Phone: 214-564-6550