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NPI Code Detail

MEDICARE: KRUTI DAJEE M.D. P.A.

MEDICARE: KRUTI DAJEE M.D. P.A.
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
1207WX0107XRetina Specialist (Ophthalmology) Physician

General Provider Information

NPI Number : 1790316701
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRUTI DAJEE M.D. P.A.
Provider Business Mailing Address
First Line : 2745 VIRGINIA PKWY STE 300
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-4915
Country : US
Telephone Number : 214-564-6550
Fax Number :
Provider Business Practice Location Address
First Line : 2745 VIRGINIA PKWY STE 300
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-4915
Country : US
Telephone Number : 469-343-4231
Fax Number : 469-466-6120
Authorized Official
Title or Position : PRESIDENT
Name : DR. KRUTI P DAJEE
Credential : MD
Telephone Number : 214-564-6550
Provider Enumeration Date : 01/29/2020
Last Update Date : 07/05/2023

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