Individual
S. MANNY AYYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24518 NORTHWEST FWY, MOB 2 SUITE245, CYPRESS, TX 77429
(346) 618-4400
(346) 618-4401
Mailing address
24518 NORTHWEST FWY, MOB 2 SUITE245, CYPRESS, TX 77429
(346) 618-4400
(346) 618-4401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K7425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0376907-01
—
TX
01
—
8H2061
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/17/2005
Last updated
12/05/2024
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