Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A157984 | CA |
Y | 2080P0202X | Pediatric Cardiologist | A157984 | CA |
N | 2080P0202X | Pediatric Cardiologist | MD040667 | DC |
N | 2080P0203X | Pediatric Critical Care Doctor | A157984 | CA |
NPI | 1225320039 |
---|---|
Provider Name | Dr. Asha Gopalan Nair |
First Address | Palo Alto, CA 94304-1510 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2011 |
Last Update Date | 10/10/2019 |