JAY BHAGWAN ITALIYA MD NPI 1194221606

NPI Information

Jay Bhagwan Italiya, MD is a student in an organized health care education training program in Dallas, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jay Bhagwan Italiya, MD NPI is 1194221606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390-201
Phone: (214) 648-7312

The enumeration date for this NPI number is 4/3/2018 and was last updated on 4/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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