Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | N6522 | TX |
N | 207RH0003X | Hematology & Oncology | MD.202370 | LA |
Y | 207RH0003X | Hematology & Oncology | N6522 | TX |
N | 207RX0202X | Medical Oncology | N6522 | TX |
NPI | 1215139027 |
---|---|
Provider Name | Dr. Binu S Nair |
First Address | Duncanville, TX 75137-4159 |
Second Address | Waxahachie, TX 75165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 20/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1239526 | (05) | LA |
4N874F600 | MEDICARE - PTAN (01) | LA |