Provider Demographics
NPI:1174051312
Name:NU YU MEDICINE, PLLC
Entity type:Organization
Organization Name:NU YU MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GIREESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-628-8842
Mailing Address - Street 1:PO BOX 192347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-8518
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3101 CHURCHILL DR
Practice Address - Street 2:105
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2799
Practice Address - Country:US
Practice Address - Phone:214-285-9600
Practice Address - Fax:214-382-5054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-01
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty