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NPI Code Detail

MEDICARE: KAVITA NAIR MD

MEDICARE: KAVITA NAIR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianC55699CA
2208M00000XHospitalist Physician46057MN
3207RG0300XGeriatric Medicine (Internal Medicine) Physician46057MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245204296
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAVITA NAIR MD
Provider Business Mailing Address
First Line : 2004 FORD PKWY
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1931
Country : US
Telephone Number : 612-256-8225
Fax Number : 612-457-0216
Provider Business Practice Location Address
First Line : 2004 FORD PKWY
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1931
Country : US
Telephone Number : 612-256-8225
Fax Number : 612-457-0216
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 10/31/2022

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Directions to “ KAVITA NAIR MD” Practice Location

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