MEDICARE: DR. OMER JUNAIDI 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	207RT0003X	Transplant Hepatology Physician	P3363	TX
2	207RI0008X	Hepatology Physician	P3363	TX
3	207RG0100X	Gastroenterology Physician	P3363	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8DK172	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457435331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OMER JUNAIDI M.D.

Provider Business Mailing Address
First Line	:	8201 EWING HALSELL DR
Second Line	:	2ND FLOOR
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3707
Country	:	US
Telephone Number	:	210-575-4837
Fax Number	:

Provider Business Practice Location Address
First Line	:	8201 EWING HALSELL DR
Second Line	:	2ND FLOOR
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3707
Country	:	US
Telephone Number	:	210-575-8514
Fax Number	:	210-575-8004

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	04/25/2017

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Directions to “ DR. OMER JUNAIDI M.D.” Practice Location

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