Provider Demographics
NPI:1750833117
Name:SAN ANTONIO VOICE AND ENT INSTITUTE, PLLC
Entity Type:Organization
Organization Name:SAN ANTONIO VOICE AND ENT INSTITUTE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AAYESHA
Authorized Official - Middle Name:MUMTAZ
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-898-8368
Mailing Address - Street 1:1777 NE LOOP 410
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5209
Mailing Address - Country:US
Mailing Address - Phone:210-820-2646
Mailing Address - Fax:
Practice Address - Street 1:1777 NE LOOP 410
Practice Address - Street 2:SUITE 600
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5209
Practice Address - Country:US
Practice Address - Phone:210-820-2646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Multi-Specialty