Provider Demographics
NPI:1467651117
Name:NAYYAR, NEHA (MD)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:
Last Name:NAYYAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3323 CIRCLE BROOK DR APT F
Mailing Address - Street 2:PEBBLE CREEK APTS
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-8253
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CIRCLE BROOK DRI VE
Practice Address - Street 2:3323 APT F PEBBLE CREEK APTS
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-8253
Practice Address - Country:US
Practice Address - Phone:267-357-4232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01160190632084P0800X
MDD741502084P0800X
DCMD0408372084P0800X
AZ443032084P0800X
CAA1142542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry