Provider Demographics
NPI:1003834433
Name:NAIR, ANIL K (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIL
Middle Name:K
Last Name:NAIR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:173 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1055
Mailing Address - Country:US
Mailing Address - Phone:617-639-5006
Mailing Address - Fax:617-934-2425
Practice Address - Street 1:54 MILLER ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4725
Practice Address - Country:US
Practice Address - Phone:617-639-5006
Practice Address - Fax:617-934-2425
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI469242084N0400X
MN460562084N0400X
MA2301812084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology