Individual
SUSEELA NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5010 YORK RD, BALTIMORE, MD 21212-4437
(410) 433-2200
(410) 532-7246
Mailing address
5010 YORK RD, BALTIMORE, MD 21212-4437
(410) 433-2200
(410) 532-7246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0029905
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52290801
BLUECROSS/BLUESHIELD MD
MD
Enumeration date
07/11/2006
Last updated
07/08/2007
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