Provider Demographics
NPI:1548350598
Name:DAR, SEEMA A (MD)
Entity type:Individual
Prefix:
First Name:SEEMA
Middle Name:A
Last Name:DAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19284 STONE OAK PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3473
Mailing Address - Country:US
Mailing Address - Phone:210-656-3715
Mailing Address - Fax:210-656-3282
Practice Address - Street 1:19284 STONE OAK PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3473
Practice Address - Country:US
Practice Address - Phone:210-656-3715
Practice Address - Fax:210-656-3282
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8983207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00040844OtherMEDICAID
TX0025BNOtherBCBS
TX029907502Medicaid
TXG46749Medicare UPIN
TX0025BNOtherBCBS