Individual
DR. ASHALATHA KESAVANKUTTY NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 LODGE RD, GREAT NECK, NY 11021-3912
(516) 491-6880
(516) 482-3512
Mailing address
2655 COLLINS AVE APT 911, MIAMI BEACH, FL 33140-4713
(516) 491-6880
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M001411
GU
207L00000X
Anesthesiology Physician
Primary
ME124143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02208015
—
NY
01
—
8K0201
BLUE SHIELD
—
01
—
AN001557
WORKERS COMPNO
—
Enumeration date
09/02/2006
Last updated
04/10/2019
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