1144295445 NPI number — SEEMA HANDA NAYYAR DO

Table of content: SEEMA HANDA NAYYAR DO (NPI 1144295445)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144295445 NPI number — SEEMA HANDA NAYYAR DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANDA NAYYAR
Provider First Name:
SEEMA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HANDA NAYYAK
Provider Other First Name:
SEEMA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1144295445
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
315 BAYVIEW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORGANVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07751
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-525-0600
Provider Business Mailing Address Fax Number:
732-525-9777

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 MAY ST
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
EDISON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-826-4177
Provider Business Practice Location Address Fax Number:
732-607-1160
Provider Enumeration Date:
02/21/2006

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: 207L00000X , with the licence number:  25MB06610900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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