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
Fax: (972) 566-2952
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023012069 NPPES
Texas MEDICAID 030421401

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