Provider Demographics
NPI:1902430499
Name:DKT PHYSICIAN PLLC
Entity type:Organization
Organization Name:DKT PHYSICIAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:MR
Authorized Official - First Name:GIRISH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIKHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-377-4700
Mailing Address - Street 1:6319 FLY RD STE 2
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-4900
Mailing Address - Country:US
Mailing Address - Phone:315-937-5797
Mailing Address - Fax:315-937-5203
Practice Address - Street 1:6319 FLY RD STE 2
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-4900
Practice Address - Country:US
Practice Address - Phone:315-937-5797
Practice Address - Fax:315-937-5203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty