Individual
ANISH NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT
Contact information
Practice address
1420 BEVERLY RD STE 210, MC LEAN, VA 22101-3736
(703) 288-8260
(703) 288-9316
Mailing address
1420 BEVERLY RD STE 210, MC LEAN, VA 22101-3736
(703) 288-8260
(703) 288-9316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213748
VA
225100000X
Physical Therapist
26192
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447657507
NPI TYPE 2/ ORGANIZATION
MD
05
—
4374045-00
—
MD
Enumeration date
11/21/2016
Last updated
12/28/2023
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