Provider Demographics
NPI:1346228137
Name:NAGHAVIANI, NORMA LINDA (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:LINDA
Last Name:NAGHAVIANI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6800 PARK TEN BLVD STE 200S
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-4293
Mailing Address - Country:US
Mailing Address - Phone:210-261-1000
Mailing Address - Fax:210-261-1821
Practice Address - Street 1:601 N FRIO ST BLDG 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3011
Practice Address - Country:US
Practice Address - Phone:210-261-1060
Practice Address - Fax:210-261-1821
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2023-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG8312207Q00000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25075Medicare UPIN