MEDICARE: KNOWLEDGE INTERNAL MEDICINE PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1922700772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNOWLEDGE INTERNAL MEDICINE PLLC

Provider Business Mailing Address
First Line	:	5860 COLLIN MCKINNEY PKWY STE 602
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5860 COLLIN MCKINNEY PKWY STE 602
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5103
Country	:	US
Telephone Number	:	862-485-3204
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. CHIRAG CHAVDA
Credential	:	MD
Telephone Number	:	862-485-3204

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	05/23/2023

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