Provider Demographics
NPI:1962509901
Name:BAYAT, NEYSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NEYSAN
Middle Name:
Last Name:BAYAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 PARKVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-5825
Mailing Address - Country:US
Mailing Address - Phone:956-600-7747
Mailing Address - Fax:866-221-2183
Practice Address - Street 1:2009 E GRIFFIN PKWY
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3222
Practice Address - Country:US
Practice Address - Phone:956-600-7747
Practice Address - Fax:866-221-2183
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0174272086S0122X
TXP49262086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025293300Medicaid
NE10025293300Medicaid
TXG90226Medicare UPIN
TXG90226Medicare UPIN