Provider Demographics
NPI:1689698748
Name:NAIR, SAJEEVAKUMAR KRISHNAN (MD)
Entity Type:Individual
Prefix:
First Name:SAJEEVAKUMAR
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 1:1922 53RD AVE E STE A
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203
Mailing Address - Country:US
Mailing Address - Phone:941-753-1756
Mailing Address - Fax:941-201-1200
Practice Address - Street 1:1922 53RD AVE E STE A
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-4236
Practice Address - Country:US
Practice Address - Phone:941-753-1756
Practice Address - Fax:941-201-1200
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96223207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery