Provider Demographics
NPI:1447206404
Name:SALIL K. TREHAN, MD, PA
Entity Type:Organization
Organization Name:SALIL K. TREHAN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SALIL
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:TREHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-353-7417
Mailing Address - Street 1:12 CARE CIR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-2118
Mailing Address - Country:US
Mailing Address - Phone:806-353-7417
Mailing Address - Fax:806-353-4007
Practice Address - Street 1:12 CARE CIR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-2118
Practice Address - Country:US
Practice Address - Phone:806-353-7417
Practice Address - Fax:806-353-4007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6370207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG09097Medicare UPIN
TX00987DMedicare ID - Type Unspecified