Provider Demographics
NPI:1790796852
Name:NAIR, SUNIL K (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:K
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 1:12201 PLUM ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7803
Mailing Address - Country:US
Mailing Address - Phone:301-572-1001
Mailing Address - Fax:301-572-1004
Practice Address - Street 1:12201 PLUM ORCHARD DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7803
Practice Address - Country:US
Practice Address - Phone:301-572-1001
Practice Address - Fax:301-572-1004
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1010422084P0800X
KY377702084P0800X
MDD811212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY45303849Medicaid
KY17000142Medicaid
KY28010015Medicaid
KY29000015Medicaid
610661987OtherCORPHEALTH
P00312520OtherPALMETTO - RR MCR
000000337401OtherANTHEM BCBS
KY33900168Medicaid
11743164OtherCAQH
KY30610026Medicaid
KY30615058Medicaid
KY27010016Medicaid
AW745ZMedicare PIN
0520415Medicare PIN
KY29000015Medicaid
KY30615058Medicaid