1104841873 NPI number — SCHEEL NAYAR DO

Table of content: SCHEEL NAYAR DO (NPI 1104841873)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104841873 NPI number — SCHEEL NAYAR DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAYAR
Provider First Name:
SCHEEL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104841873
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7386 BARLITE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78224-1341
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-921-2229
Provider Business Mailing Address Fax Number:
210-921-2360

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7386 BARLITE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78224-1341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-921-2229
Provider Business Practice Location Address Fax Number:
210-921-2360
Provider Enumeration Date:
07/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  J5848 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: F07874 , issued by the state of ( TX ) . This identifiers is of the category "MEDICARE UPIN".
  • Identifier: 110561102 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00775V . This identifiers is of the category "MEDICARE PIN".
  • Identifier: F07873 . This identifiers is of the category "MEDICARE UPIN".
  • Identifier: 166435102 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8B1738 . This identifiers is of the category "MEDICARE PIN".