Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A144350 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A144350 | CA |
NPI | 1063703270 |
---|---|
Provider Name | Dr. Samir Nayyar |
First Address | Victorville, CA 92395-8321 |
Second Address | Victorville, CA 92395-8321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2011 |
Last Update Date | 08/08/2019 |