Individual
AJITH NAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3710 CHAMBERLAIN LN, STE A, LOUISVILLE, KY 40241
(502) 995-4004
(502) 933-5559
Mailing address
PO BOX 24261, LOUISVILLE, KY 40224-0261
(502) 995-4004
(502) 933-5559
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36217
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073515227
MEDICARE NPI
KY
05
—
64024896
—
KY
Enumeration date
06/01/2005
Last updated
07/02/2018
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