Individual
DR. MADHU K NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS PHD
Contact information
Practice address
2600 FAIRFIELD DR, RICHARDSON, TX 75082-5202
(682) 325-9558
(440) 575-0289
Mailing address
2600 FAIRFIELD DR, RICHARDSON, TX 75082-5202
(682) 325-9558
(440) 575-0289
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
DTP438
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DTP438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076005600
—
FL
Enumeration date
03/16/2006
Last updated
10/13/2018
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