Provider Demographics
NPI:1851521298
Name:NAIR, NARAYANAN MADHAVAN (MD FACS FAAP)
Entity Type:Individual
Prefix:DR
First Name:NARAYANAN
Middle Name:MADHAVAN
Last Name:NAIR
Suffix:
Gender:M
Credentials:MD FACS FAAP
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Other - Credentials:
Mailing Address - Street 1:5901 SW 136TH ST
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7209
Mailing Address - Country:US
Mailing Address - Phone:305-731-3624
Mailing Address - Fax:
Practice Address - Street 1:4950 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2400
Practice Address - Country:US
Practice Address - Phone:305-731-3624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-20
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA150815208200000X
PA28359959208600000X
FLME136255208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery