| NPI | 1063554608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH NAIR Owner/Provider 502-638-4280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology (Licence: KY 31256) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-07-02 |