Provider Demographics
NPI:1063703270
Name:NAYYAR, SAMIR (MD)
Entity type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:
Last Name:NAYYAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17100B BEAR VALLEY RD # 283
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-5851
Mailing Address - Country:US
Mailing Address - Phone:760-552-8585
Mailing Address - Fax:760-243-4276
Practice Address - Street 1:12490 BUSINESS CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5833
Practice Address - Country:US
Practice Address - Phone:760-552-8585
Practice Address - Fax:760-243-4276
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2023-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA144350207XS0114X, 207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Multi-Specialty