Provider Demographics
NPI:1275780314
Name:SEEMA NAYYAR DO, INC
Entity Type:Organization
Organization Name:SEEMA NAYYAR DO, INC
Other - Org Name:SEEMA NAYYAR MD INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDA-NAYYAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-525-0600
Mailing Address - Street 1:200 PERRINE RD
Mailing Address - Street 2:SUITE 231
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857
Mailing Address - Country:US
Mailing Address - Phone:732-525-0600
Mailing Address - Fax:732-525-9777
Practice Address - Street 1:200 PERRINE RD
Practice Address - Street 2:SUITE 231
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857
Practice Address - Country:US
Practice Address - Phone:732-525-0600
Practice Address - Fax:732-525-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06610900207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F06826Medicare UPIN
NJF06826Medicare UPIN