Provider Demographics
NPI:1871557454
Name:SHNEKER, AYHAM F (MD)
Entity type:Individual
Prefix:
First Name:AYHAM
Middle Name:F
Last Name:SHNEKER
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 1:1032 S WW WHITE RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78220-2531
Mailing Address - Country:US
Mailing Address - Phone:210-447-3033
Mailing Address - Fax:210-447-3036
Practice Address - Street 1:1032 S WW WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78220-2531
Practice Address - Country:US
Practice Address - Phone:210-447-3033
Practice Address - Fax:210-447-3036
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0460207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200316202Medicaid
TX8F9298Medicare PIN
WAH79541Medicare UPIN