Provider Demographics
NPI:1033993449
Name:DR KRIYA INCORPORATED
Entity Type:Organization
Organization Name:DR KRIYA INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GISHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-927-7604
Mailing Address - Street 1:8282 EMERALD AVE
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4430
Mailing Address - Country:US
Mailing Address - Phone:561-927-7604
Mailing Address - Fax:
Practice Address - Street 1:150 S RODEO DR STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2440
Practice Address - Country:US
Practice Address - Phone:561-927-7604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty