Jayaseelan, Nirmal Samuel
Jayaseelan, Nirmal Samuel is an sole proprietor health care provider with primary practice located at 7777 Forest Ln Ste C670, Dallas TX 75230-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jayaseelan, Nirmal Samuel can be contacted via phone (972) 566-2263.Contact Information
Primary practice address
7777 Forest Ln Ste C670
Dallas TX 75230-2505
Phone: (972) 566-2263
Fax: (972) 566-2952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | K8233 | Texas |
Profile Details
| NPI number | 1023012069 |
|---|---|
| LBN Legal business name | Jayaseelan, Nirmal Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jul 21st, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023012069 | NPPES |
| Texas | MEDICAID | 030421401 |
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