Individual
SUJA J NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
MD035531
MD
2080P0214X
Pediatric Pulmonology Physician
Primary
Q0515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036908800
—
DC
01
—
1067
CAREFIRST
DC
05
—
408905700
—
MD
Enumeration date
10/11/2006
Last updated
07/18/2014
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