Healthcare Provider Details

I. General information

NPI: 1962475962
Provider Name (Legal Business Name): UMA C NAIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 03/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 W SUNSET RD SUITE 200
SAN ANTONIO TX
78209-2676
US

IV. Provider business mailing address

113 PLEASANT VALLEY DR STE 210
BOERNE TX
78006-5683
US

V. Phone/Fax

Practice location:
  • Phone: 210-733-0578
  • Fax: 210-587-8549
Mailing address:
  • Phone: 210-872-4710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number7737
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberJ0151
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: