Provider Demographics
NPI:1649407719
Name:NAYYAR, PRIYA MAHINDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:MAHINDRA
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 1:3085 DR. MLK JR ST. N
Mailing Address - Street 2:
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-2034
Mailing Address - Country:US
Mailing Address - Phone:727-888-0900
Mailing Address - Fax:727-233-3838
Practice Address - Street 1:3085 DR. MLK JR ST. N
Practice Address - Street 2:
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-2034
Practice Address - Country:US
Practice Address - Phone:727-888-0900
Practice Address - Fax:727-233-3838
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME127446207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery