Provider Demographics
NPI:1740256452
Name:JEHANGIR, SAIMA KANWAL (MD)
Entity type:Individual
Prefix:DR
First Name:SAIMA
Middle Name:KANWAL
Last Name:JEHANGIR
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 1:3407 GLENVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-1448
Mailing Address - Country:US
Mailing Address - Phone:512-716-0971
Mailing Address - Fax:844-499-0903
Practice Address - Street 1:3407 GLENVIEW AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-1448
Practice Address - Country:US
Practice Address - Phone:512-716-0971
Practice Address - Fax:844-499-0903
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4207207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190576201Medicaid
TX00Y506Medicare PIN