Provider Demographics
NPI:1942599162
Name:NAIR, SMITHA GOPINATH (DO)
Entity Type:Individual
Prefix:DR
First Name:SMITHA
Middle Name:GOPINATH
Last Name:NAIR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SMITHA
Other - Middle Name:
Other - Last Name:GOPINATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-682-6511
Mailing Address - Fax:914-681-5260
Practice Address - Street 1:210 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2901
Practice Address - Country:US
Practice Address - Phone:914-682-6511
Practice Address - Fax:914-681-5260
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277008207RP1001X, 207R00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine