Provider Demographics
NPI:1801469218
Name:PRIME INFECTIOUS DISEASE GROUP PLLC
Entity type:Organization
Organization Name:PRIME INFECTIOUS DISEASE GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SURESH
Authorized Official - Middle Name:
Authorized Official - Last Name:KACHHDIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-453-8118
Mailing Address - Street 1:PO BOX 251104
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-1104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:WOUNDE CARE CENTER
Practice Address - Street 2:7 MEDICAL PKWY
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7829
Practice Address - Country:US
Practice Address - Phone:469-453-8118
Practice Address - Fax:972-888-7047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty