Jay Italiya, MD, PLLC
Psychiatry & Neurology, Psychiatry in Dallas, TX. Organization (NPI-2).
NPI number1699485284
StatusActive
Last updated in NPPESFeb 15, 2024
Details
- NPI
- 1699485284
- Entity type
- Organization (NPI-2)
- Legal business name
- Jay Italiya, MD, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2022
- Certification date
- Feb 12, 2024
- Last updated
- Feb 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Other names
- Cultivate Psychiatry (Doing Business As)
Practice location
13747 Montfort Dr Ste 320Dallas, TX 75240-4454
Phone 972-200-2426
Mailing address
3916 Tumbril LnPlano, TX 75023-5713
Other practice locations
5200 Tennyson Pkwy
Plano, TX 75024-7151
Plano, TX 75024-7151
Phone 469-361-0467
Authorized official
Jay Bhagwan Italiya
Psychiatrist
2144583608
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