Provider Demographics
NPI:1003502048
Name:NAIR, DEEPAK RAJENDRAN (MBBS)
Entity Type:Individual
Prefix:MR
First Name:DEEPAK RAJENDRAN
Middle Name:
Last Name:NAIR
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SINAI HOSPITAL OF BALTIMORE
Mailing Address - Street 2:2401 W BELVEDERE AVENUE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-7639
Mailing Address - Fax:410-601-6308
Practice Address - Street 1:SINAI HOSPITAL OF BALTIMORE
Practice Address - Street 2:2401 W BELVEDERE AVENUE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5216
Practice Address - Country:US
Practice Address - Phone:410-601-7639
Practice Address - Fax:410-601-6308
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty