MEDICARE: PRIYANKA PAHUJA M.D.

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	207Q00000X	Family Medicine Physician	MT190238	PA
2	207Q00000X	Family Medicine Physician	Q1110	TX

General Provider Information

NPI Number	:	1164771077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYANKA PAHUJA M.D.

Provider Business Mailing Address
First Line	:	2770 MAIN ST STE 233
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-4463
Country	:	US
Telephone Number	:	888-492-0254
Fax Number	:	888-927-4461

Provider Business Practice Location Address
First Line	:	2770 MAIN ST STE 233
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-4463
Country	:	US
Telephone Number	:	888-492-0254
Fax Number	:	888-927-4461

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

Provider Enumeration Date	:	09/06/2012
Last Update Date	:	02/03/2026

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Directions to “ PRIYANKA PAHUJA M.D.” Practice Location

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