Healthcare Provider Details

I. General information

NPI: 1851736078
Provider Name (Legal Business Name): NEEMA SARAIYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2013
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6818 AUSTIN CENTER BLVD STE 205
AUSTIN TX
78731-3100
US

IV. Provider business mailing address

6210 E US HWY 290 STE. 420 - CREDENTIALING
AUSTIN TX
78723-1098
US

V. Phone/Fax

Practice location:
  • Phone: 512-344-0450
  • Fax: 512-406-7318
Mailing address:
  • Phone: 512-338-3826
  • Fax: 512-406-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberS2671
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: