Provider Demographics
NPI:1932161635
Name:PAYINDA, GARY H (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:H
Last Name:PAYINDA
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 1:14781 MEMORIAL DR
Mailing Address - Street 2:NUMBER 2817
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5210
Mailing Address - Country:US
Mailing Address - Phone:832-426-2356
Mailing Address - Fax:
Practice Address - Street 1:WHANGAREI HOSPITAL EMERGENCY DEPARTMENT
Practice Address - Street 2:MAUNU RD
Practice Address - City:WHANGAREI
Practice Address - State:NORTHLAND
Practice Address - Zip Code:0110
Practice Address - Country:NZ
Practice Address - Phone:649-430-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77072207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A770720Medicaid
CAH92711Medicare UPIN
CA00A770722Medicare PIN
CA00A770720Medicaid
CA00A770721Medicare PIN