Provider Demographics
NPI:1467913210
Name:NAIR, ARCHANA SREEKANTAN (MD)
Entity Type:Individual
Prefix:
First Name:ARCHANA
Middle Name:SREEKANTAN
Last Name:NAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 GRANITE LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-3820
Mailing Address - Country:US
Mailing Address - Phone:610-969-8438
Mailing Address - Fax:
Practice Address - Street 1:27 GRANITE LN
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-3820
Practice Address - Country:US
Practice Address - Phone:610-969-8438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program