Healthcare Provider Details

I. General information

NPI: 1659060598
Provider Name (Legal Business Name): ANNSURIYA SAJI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 N CENTRAL EXPY STE 150
MCKINNEY TX
75070-3100
US

IV. Provider business mailing address

1720 N CENTRAL EXPY STE 150
MCKINNEY TX
75070-3100
US

V. Phone/Fax

Practice location:
  • Phone: 972-542-2800
  • Fax:
Mailing address:
  • Phone: 972-542-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberW5544
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: