Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 95009818 | CA |
NPI | 1023599255 |
---|---|
Provider Name | Ranjit Nair |
First Address | Floral Park, NY 11001-1010 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2018 |
Last Update Date | 26/08/2018 |