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Individual

BEENA SURESH NAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 320-0580
(559) 320-0582
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
A80055
CA
2084P0800X
Psychiatry Physician
Primary
A80055
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A800551
CA
Enumeration date
08/30/2006
Last updated
12/15/2021
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