Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 25MA08956700 | NJ |
NPI | 1053570374 |
---|---|
Provider Name | Dr. Anil Karunakaran Nair |
First Address | Union, NJ 07083-5025 |
Second Address | Union, NJ 07083-5025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 03/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0284149 | (05) | NJ |
102554486 | (05) | PA |