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Individual

MR. MADHUSUDANAN NAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
031789L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001014987-0003
PA
01
65714
AETNA
PA
01
NA1740208
BLUE CROSS BLUE SHIELD
PA
01
P00226766
RAILROAD MEDICARE
PA
Enumeration date
08/16/2005
Last updated
02/07/2008
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