Provider Demographics
NPI:1215139027
Name:NAIR, BINU S (MD, FACP)
Entity type:Individual
Prefix:DR
First Name:BINU
Middle Name:S
Last Name:NAIR
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E HIGHWAY 67
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-4159
Mailing Address - Country:US
Mailing Address - Phone:469-800-9300
Mailing Address - Fax:469-800-9310
Practice Address - Street 1:2380 N INTERSTATE 35 EAST SERVICE RD
Practice Address - Street 2:BAYLOR CHARLES A SAMMONS CANCER CENTER
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:469-843-6000
Practice Address - Fax:469-843-6008
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.202370207RH0003X, 207RH0003X
TXN6522207RH0000X, 207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1239526Medicaid
LA4N874F600OtherMEDICARE - PTAN
LA4N874F600OtherMEDICARE - PTAN