Provider Demographics
NPI:1073686325
Name:TADIA, RIAZ YUSUF (MD)
Entity type:Individual
Prefix:DR
First Name:RIAZ
Middle Name:YUSUF
Last Name:TADIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5375 COIT RD STE 130
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4914
Mailing Address - Country:US
Mailing Address - Phone:214-619-1910
Mailing Address - Fax:214-619-1914
Practice Address - Street 1:403 W CAMPBELL RD STE 400
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3466
Practice Address - Country:US
Practice Address - Phone:214-619-1910
Practice Address - Fax:214-619-1914
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN60562084N0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program