Provider Demographics
NPI:1104881531
Name:SARAN, NIRMAL (MD)
Entity type:Individual
Prefix:DR
First Name:NIRMAL
Middle Name:
Last Name:SARAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2726 MATLOCK RD
Mailing Address - Street 2:STE A
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015
Mailing Address - Country:US
Mailing Address - Phone:817-461-2893
Mailing Address - Fax:817-276-0271
Practice Address - Street 1:2726 MATLOCK RD
Practice Address - Street 2:STE A
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2528
Practice Address - Country:US
Practice Address - Phone:817-461-2893
Practice Address - Fax:817-276-0271
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4933207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B26175Medicare UPIN
TX00X384Medicare PIN