Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME71047 | FL |
NPI | 1023045739 |
---|---|
Provider Name | Somnath N Nair |
First Address | Boynton Beach, FL 33435 |
Second Address | Boynton Beach, FL 33435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 19/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
238894 | AVMED (01) | FL |
250367100 | (05) | FL |
31548 | BCBS (01) | FL |
C26410 | (02) | |
P00287491 | RAILROAD MEDICARE (01) | FL |