Provider Demographics
NPI:1740247030
Name:NAYAR, ARUN G (MD)
Entity type:Individual
Prefix:
First Name:ARUN
Middle Name:G
Last Name:NAYAR
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 1:100 SWEETBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:TX
Mailing Address - Zip Code:78934-3008
Mailing Address - Country:US
Mailing Address - Phone:979-732-5771
Mailing Address - Fax:979-732-6922
Practice Address - Street 1:100 SWEETBRIAR DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:TX
Practice Address - Zip Code:78934-3008
Practice Address - Country:US
Practice Address - Phone:979-732-5771
Practice Address - Fax:979-732-6922
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ3561207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX129511506Medicaid
TX129511502Medicaid
TX129511502Medicaid
TX8F4224Medicare PIN
820659Medicare PIN