Provider Demographics
NPI:1841488749
Name:SOMNATH NAIR MDPA
Entity type:Organization
Organization Name:SOMNATH NAIR MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SOMNATH
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-742-4419
Mailing Address - Street 1:236 IMPERIAL LN
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE BY THE SEA
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5925
Mailing Address - Country:US
Mailing Address - Phone:954-493-7791
Mailing Address - Fax:
Practice Address - Street 1:2623 S SEACREST BLVD
Practice Address - Street 2:206
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7501
Practice Address - Country:US
Practice Address - Phone:561-742-4419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL238894OtherAVMED
FLP00287491OtherRAILROAD MEDICARE
FL250367100Medicaid
FL31548OtherBLUE CROSS BLUE SHIELD OF FLA
FLP00287491OtherRAILROAD MEDICARE
FL250367100Medicaid