Provider Demographics
NPI:1649200635
Name:NAIR, V. KRISHNAN (MD)
Entity Type:Individual
Prefix:DR
First Name:V.
Middle Name:KRISHNAN
Last Name:NAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 E CHURCH ST
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-2271
Mailing Address - Country:US
Mailing Address - Phone:814-445-7101
Mailing Address - Fax:814-445-7688
Practice Address - Street 1:126 E CHURCH ST
Practice Address - Street 2:SUITE 2400
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-2271
Practice Address - Country:US
Practice Address - Phone:814-445-7101
Practice Address - Fax:814-445-7688
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024353E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4279099OtherAETNA
PA442061649OtherRR MEDICARE
PA251409420OtherCHAMPUS
PA2414615OtherCIGNA
PA251409420OtherUNITED HEALTHCARE
PAB41238OtherHEALTH AMERICA/ASSURANCE
PA000757790Medicaid
PA1272697OtherUMWA
PA251409420OtherPENN HIGHLANDS
PA81727OtherUNISON
PA026091800OtherBLACK LUNG
PA1034830OtherGATEWAY
PA201901OtherUPMC
PA257482OtherOPTIMUM CHOICE
PA402693OtherHIGHMARK
PA000757790Medicaid
PA1034830OtherGATEWAY