Provider Demographics
NPI:1013004340
Name:SANKARAN M. & VIMALA V. NAYAR
Entity Type:Organization
Organization Name:SANKARAN M. & VIMALA V. NAYAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANKARAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NAYAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-927-3778
Mailing Address - Street 1:3717 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:COTTAGE CITY
Mailing Address - State:MD
Mailing Address - Zip Code:20722-1800
Mailing Address - Country:US
Mailing Address - Phone:301-927-3778
Mailing Address - Fax:
Practice Address - Street 1:3717 38TH AVE
Practice Address - Street 2:
Practice Address - City:COTTAGE CITY
Practice Address - State:MD
Practice Address - Zip Code:20722-1800
Practice Address - Country:US
Practice Address - Phone:301-927-3778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0017874207R00000X
MDD0018415208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty