Provider Demographics
NPI:1366647745
Name:SIKANDER MEDICAL PRACTICE P.A.
Entity Type:Organization
Organization Name:SIKANDER MEDICAL PRACTICE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZLI
Authorized Official - Middle Name:
Authorized Official - Last Name:UPPAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-646-7311
Mailing Address - Street 1:18702 DESERT FLOWER
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-1638
Mailing Address - Country:US
Mailing Address - Phone:210-646-7311
Mailing Address - Fax:210-654-3575
Practice Address - Street 1:8601 VILLAGE DRIVE STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217
Practice Address - Country:US
Practice Address - Phone:210-646-7311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7906207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDD3774OtherRAILROAD MEDICARE
TXI02504Medicare UPIN
TXDD3774OtherRAILROAD MEDICARE