MEDICARE: DR. RAJIV NAIR M.D.

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
1	207RC0000X	Cardiovascular Disease Physician	4301061341	MI
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	4301061341	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0F37550	OTHER		BCN
2	0F37550	OTHER		BCBSM

General Provider Information

NPI Number	:	1780609776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJIV NAIR M.D.

Provider Business Mailing Address
First Line	:	42557 WOODWARD AVE
Second Line	:	SUITE 200
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-5206
Country	:	US
Telephone Number	:	248-333-1170
Fax Number	:	248-333-1175

Provider Business Practice Location Address
First Line	:	42557 WOODWARD AVE
Second Line	:	SUITE 200
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-5206
Country	:	US
Telephone Number	:	248-333-1170
Fax Number	:	248-333-1175

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	06/04/2026

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Directions to “ DR. RAJIV NAIR M.D.” Practice Location

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