MEDICARE: DK PHYSICIANS PROFESSIONAL LIMITED LIABILITY COMPANY

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	Q0516	TX

General Provider Information

NPI Number	:	1568902799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DK PHYSICIANS PROFESSIONAL LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	769 BANDIT TRL
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-0111
Country	:	US
Telephone Number	:	469-283-0076
Fax Number	:	469-470-6264

Provider Business Practice Location Address
First Line	:	769 BANDIT TRL
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-0111
Country	:	US
Telephone Number	:	469-283-0076
Fax Number	:	469-470-6264

Authorized Official
Title or Position	:	CEO
Name	:	DR. NILESH NANGRANI
Credential	:	D.O
Telephone Number	:	817-637-1041

Provider Enumeration Date	:	03/07/2017
Last Update Date	:	10/23/2025

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