Provider Demographics
NPI:1114384286
Name:NAIR, VISHNUPRIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:VISHNUPRIYA
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VISHNUPRIYA
Other - Middle Name:
Other - Last Name:MADHAVANKUTTY SARASWATHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34921 US HIGHWAY 19 N STE 430
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1969
Mailing Address - Country:US
Mailing Address - Phone:727-939-5128
Mailing Address - Fax:727-937-3958
Practice Address - Street 1:34921 US HIGHWAY 19 N STE 430
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1969
Practice Address - Country:US
Practice Address - Phone:727-939-5128
Practice Address - Fax:727-937-3958
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME132661207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine