Provider Demographics
NPI:1578731998
Name:NAIR, MALINI ANIL (MD)
Entity Type:Individual
Prefix:
First Name:MALINI
Middle Name:ANIL
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 1:173 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1055
Mailing Address - Country:US
Mailing Address - Phone:781-369-9966
Mailing Address - Fax:
Practice Address - Street 1:173 FOREST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-1055
Practice Address - Country:US
Practice Address - Phone:781-369-9966
Practice Address - Fax:617-934-2425
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN178182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry