Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101255425 | VA |
Y | 207RC0200X | Critical Care Medicine | S2851 | TX |
N | 207RP1001X | Pulmonary Disease | 0101255425 | VA |
N | 207RP1001X | Pulmonary Disease | S2851 | TX |
NPI | 1083877039 |
---|---|
Provider Name | Madhu B Nair |
First Address | Portsmouth, VA 23707-0068 |
Second Address | Houston, TX 77030-2604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 21/12/2021 |