Basic Information
Provider Information
NPI: 1407066368
EntityType: 2
ReplacementNPI:  
OrganizationName: GREGORY H SZEYKO, MD, PA
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4 MINA PERDIDA ST
Address2:  
City: EL PASO
State: TX
PostalCode: 799022204
CountryCode: US
TelephoneNumber: 9153516600
FaxNumber:  
Practice Location
Address1: 2101 N OREGON ST
Address2:  
City: EL PASO
State: TX
PostalCode: 799023346
CountryCode: US
TelephoneNumber: 9153516600
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/22/2007
LastUpdateDate: 07/11/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SZEYKO
AuthorizedOfficialFirstName: GREGORY
AuthorizedOfficialMiddleName: H
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 9153516600
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XE6935TXY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


Home