Provider Demographics
NPI:1841328077
Name:NAIR, SUPRIYA (DO)
Entity type:Individual
Prefix:
First Name:SUPRIYA
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4835 E CACTUS RD
Mailing Address - Street 2:SUITE 333
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4191
Mailing Address - Country:US
Mailing Address - Phone:602-795-9980
Mailing Address - Fax:602-795-9984
Practice Address - Street 1:4835 E CACTUS RD
Practice Address - Street 2:SUITE 333
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4191
Practice Address - Country:US
Practice Address - Phone:602-795-9980
Practice Address - Fax:602-795-9984
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2016-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ45262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry