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General NPI Number Information
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NPI Number | 1497737126
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Entity Type | Individual
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Provider Name | S. MANNY AYYAR MD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 24518 NORTHWEST FWY MOB 2 SUITE245
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 346-618-4400
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Fax | 346-618-4401
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Provider Business Mailing Address
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Address Line | 24518 NORTHWEST FWY MOB 2 SUITE245
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 346-618-4400
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Fax | 346-618-4401
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | K7425
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License Number State | TX
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