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Individual

DR. CHANDRASEKHARAN NAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5601 LOCH RAVEN BLVD, STE 100, BALTIMORE, MD 21239
(410) 532-3898
(410) 532-3854
Mailing address
5601 LOCH RAVEN BLVD, STE 100, BALTIMORE, MD 21239
(410) 532-3898
(410) 532-3854

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0021778
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04386
AMERICAID
01
25231
EHP
MD
01
278462
OPTINIUM CHOICE
MD
01
30111004
AETNA
Enumeration date
10/17/2006
Last updated
07/08/2007
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