Provider Demographics
NPI:1790316701
Name:KRUTI DAJEE M.D. P.A.
Entity Type:Organization
Organization Name:KRUTI DAJEE M.D. P.A.
Other - Org Name:GREATER DALLAS RETINA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRUTI
Authorized Official - Middle Name:P
Authorized Official - Last Name:DAJEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-564-6550
Mailing Address - Street 1:2745 VIRGINIA PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4915
Mailing Address - Country:US
Mailing Address - Phone:214-564-6550
Mailing Address - Fax:
Practice Address - Street 1:2745 VIRGINIA PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4915
Practice Address - Country:US
Practice Address - Phone:469-343-4231
Practice Address - Fax:469-466-6120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty