Individual
MR. MADHUSUDANAN NAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4506 PENN AVE, FL 2, PITTSBURGH, PA 15224-1314
(412) 621-3125
(412) 621-2303
Mailing address
4506 PENN AVE, FL 2, PITTSBURGH, PA 15224-1314
(412) 621-3125
(412) 621-2303
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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