Purswani, Shyam
Purswani, Shyam is an individual health care provider with primary practice located at 2455 Ne Loop 410 Ste 101 , San Antonio TX 78217-5650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Purswani, Shyam can be contacted via phone (210) 590-9080.Contact Information
Primary practice address
2455 Ne Loop 410 Ste 101
San Antonio TX 78217-5650
Phone: (210) 590-9080
Fax: (210) 590-9087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | K1005 | Texas |
Profile Details
| NPI number | 1497763304 |
|---|---|
| LBN Legal business name | Purswani, Shyam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 10th, 2017 - about 9 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 | 1497763304 | NPPES |
| Texas | MEDICAID | 0297020-02 | |
| Texas | Other | TXB153365 |
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