MEDICARE: SAN ANTONIO VOICE AND ENT INSTITUTE, PLLC

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	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician
2	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1750833117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN ANTONIO VOICE AND ENT INSTITUTE, PLLC

Provider Business Mailing Address
First Line	:	1777 NE LOOP 410
Second Line	:	SUITE 600
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5209
Country	:	US
Telephone Number	:	210-820-2646
Fax Number	:

Provider Business Practice Location Address
First Line	:	1777 NE LOOP 410
Second Line	:	SUITE 600
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5209
Country	:	US
Telephone Number	:	210-820-2646
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AAYESHA MUMTAZ KAHN
Credential	:	MD
Telephone Number	:	314-898-8368

Provider Enumeration Date	:	11/01/2016
Last Update Date	:	11/01/2016

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Directions to “SAN ANTONIO VOICE AND ENT INSTITUTE, PLLC ” Practice Location

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