Provider Demographics
NPI:1346766649
Name:NAIR, INDU RAJAPPAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:INDU
Middle Name:RAJAPPAN
Last Name:NAIR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 SEARS ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-5914
Mailing Address - Country:US
Mailing Address - Phone:215-500-8612
Mailing Address - Fax:
Practice Address - Street 1:1901 JOHNSTON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4720
Practice Address - Country:US
Practice Address - Phone:215-336-5553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447045183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist