Provider Demographics
NPI:1003144338
Name:SUDHAKARAN NAIR, GOPAKUMAR (MD)
Entity Type:Individual
Prefix:
First Name:GOPAKUMAR
Middle Name:
Last Name:SUDHAKARAN NAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12820 FAIRHILL RD
Mailing Address - Street 2:APT # 16
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-5516
Mailing Address - Country:US
Mailing Address - Phone:216-816-8252
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:CENTER FOR ANESTHESIOLOGY EDUCATION-E30, CCF
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-2115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program