Provider Demographics
NPI:1750374294
Name:NAIR, HEMACHANDRAN P (MD)
Entity type:Individual
Prefix:DR
First Name:HEMACHANDRAN
Middle Name:P
Last Name:NAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 DOCTORS DR
Mailing Address - Street 2:STE S
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-2201
Mailing Address - Country:US
Mailing Address - Phone:912-384-2353
Mailing Address - Fax:912-383-4679
Practice Address - Street 1:200 DOCTORS DR
Practice Address - Street 2:SUITE 106
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2201
Practice Address - Country:US
Practice Address - Phone:912-384-3338
Practice Address - Fax:912-384-8214
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA024996207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA024996OtherSTATE LICENSE