MEDICARE: MR. SOSHEEL NAYYER 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	207R00000X	Internal Medicine Physician	V3923	TX
2	207R00000X	Internal Medicine Physician	MD451732	PA

General Provider Information

NPI Number	:	1295083616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SOSHEEL NAYYER M.D

Provider Business Mailing Address
First Line	:	4900 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-2618
Country	:	US
Telephone Number	:	718-219-3261
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 FRANKFORD AV
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124
Country	:	US
Telephone Number	:	718-219-3261
Fax Number	:

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

Provider Enumeration Date	:	08/15/2012
Last Update Date	:	03/10/2026

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Directions to “ MR. SOSHEEL NAYYER M.D” Practice Location

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