Provider Demographics
NPI:1336118876
Name:PEAROSE, NAHIM M (MD)
Entity type:Individual
Prefix:DR
First Name:NAHIM
Middle Name:M
Last Name:PEAROSE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:903 W MARTIN ST # MS 49-2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-0903
Mailing Address - Country:US
Mailing Address - Phone:210-358-0572
Mailing Address - Fax:210-358-5940
Practice Address - Street 1:4647 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4403
Practice Address - Country:US
Practice Address - Phone:210-358-8145
Practice Address - Fax:210-358-8536
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2024-10-09
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Provider Licenses
StateLicense IDTaxonomies
TXJ8084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB159496OtherWELLMED MEDICARE
TX121309203Medicaid
TX121309209OtherWELLMED MEDICAID
TX8469J2Medicare PIN
TX121309209OtherWELLMED MEDICAID