Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 020722 | CT |
NPI | 1104811132 |
---|---|
Provider Name | Dr. Kesav G. Nair |
First Address | Norwalk, CT 06851-4647 |
Second Address | Norwalk, CT 06851-4647 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 08/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001207224 | (05) | CT |
D88798 | (02) | CT |