Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 13571 | NE |
NPI | 1023129988 |
---|---|
Provider Name | Chandra K Nair |
First Address | Omaha, NE 68178-0001 |
Second Address | Omaha, NE 68131-2027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 28/07/2008 |