Individual
KAVITA NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2004 FORD PKWY, SAINT PAUL, MN 55116-1931
(612) 256-8225
(612) 457-0216
Mailing address
2004 FORD PKWY, SAINT PAUL, MN 55116-1931
(612) 256-8225
(612) 457-0216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C55699
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
46057
MN
208M00000X
Hospitalist Physician
46057
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410081600
—
MN
Enumeration date
02/15/2006
Last updated
10/31/2022
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