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Individual

PRASANNA K. NAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4007
(512) 901-3907
Mailing address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4007
(512) 901-3907

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
F5317
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110633805
TX
Enumeration date
04/12/2006
Last updated
03/26/2009
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