Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | P6223 | TX |
N | 208000000X | Pediatrician | P6223 | TX |
N | 2080P0204X | Pediatric Emergency Doctor | 35-095169 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | 57 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | P6223 | TX |
NPI | 1043460132 |
---|---|
Provider Name | Sajay P Nair |
First Address | Dallas, TX 75373-3784 |
Second Address | Fort Worth, TX 76104-2733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2008 |
Last Update Date | 21/04/2021 |