MEDICARE: SEEMA KANSARA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	35.133798	OH
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207W00000X	Ophthalmology Physician	S0472	TX

General Provider Information

NPI Number	:	1326468315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEEMA KANSARA M.D.

Provider Business Mailing Address
First Line	:	3345 PLAZA 10 DR STE B
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77707-2553
Country	:	US
Telephone Number	:	409-833-0009
Fax Number	:	409-833-9039

Provider Business Practice Location Address
First Line	:	3345 PLAZA 10 DR STE B
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77707-2553
Country	:	US
Telephone Number	:	409-833-0444
Fax Number	:	409-833-9039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2014
Last Update Date	:	08/17/2023

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Directions to “ SEEMA KANSARA M.D.” Practice Location

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