Provider Demographics
NPI:1013278415
Name:SIREESHA JANGA MD PA
Entity type:Organization
Organization Name:SIREESHA JANGA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIREESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-322-7965
Mailing Address - Street 1:6376 BIRDHILL LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0796
Mailing Address - Country:US
Mailing Address - Phone:972-322-7965
Mailing Address - Fax:
Practice Address - Street 1:5204 S HWY 360 STE 400
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-0947
Practice Address - Country:US
Practice Address - Phone:972-755-1785
Practice Address - Fax:972-602-4522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-01
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2663207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty