Provider Demographics
NPI:1528021342
Name:NAIR, RAMACHANDRAN S (MD,)
Entity Type:Individual
Prefix:DR
First Name:RAMACHANDRAN
Middle Name:S
Last Name:NAIR
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:DR
Other - First Name:S
Other - Middle Name:R
Other - Last Name:NAIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,
Mailing Address - Street 1:905 N MACOMB ST
Mailing Address - Street 2:PO BOX 2165
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-3075
Mailing Address - Country:US
Mailing Address - Phone:734-243-9620
Mailing Address - Fax:734-243-3565
Practice Address - Street 1:905 N MACOMB ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-3075
Practice Address - Country:US
Practice Address - Phone:734-243-9620
Practice Address - Fax:734-243-3565
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301036021208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology