Provider Demographics
NPI:1962475962
Name:NAIR, UMA C (MD)
Entity type:Individual
Prefix:
First Name:UMA
Middle Name:C
Last Name:NAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:113 PLEASANT VALLEY DR
Mailing Address - Street 2:STE 210
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-5683
Mailing Address - Country:US
Mailing Address - Phone:210-872-4710
Mailing Address - Fax:
Practice Address - Street 1:147 W SUNSET RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2676
Practice Address - Country:US
Practice Address - Phone:210-733-0578
Practice Address - Fax:210-587-8549
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV7737207R00000X
TXJ0151207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113438910Medicaid
G33484Medicare UPIN
TX113438910Medicaid