Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 049064 | GA |
N | 207RI0011X | Interventional Cardiology | 049064 | GA |
NPI | 1013019512 |
---|---|
Provider Name | Samir Mewar |
First Address | Columbus, GA 31904-6802 |
Second Address | Columbus, GA 31904-6802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2006 |
Last Update Date | 15/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00878193A | (05) | GA |
009985570 | ALABAMA MEDICAID (01) | AL |
060062938 | RAILROAD MEDICARE (01) | GA |
814579 | BCBS PROVIDER NUMBER (01) | GA |
8566805-001 | CIGNA PROVIDER NUMBER (01) | |
H17704 | (02) | GA |