Healthcare Provider Details

I. General information

NPI: 1891951760
Provider Name (Legal Business Name): LAKSHMI NAIR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 11/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27206 CALAROGA AVE STE 115
HAYWARD CA
94545-4300
US

IV. Provider business mailing address

27206 CALAROGA AVE STE 115
HAYWARD CA
94545-4300
US

V. Phone/Fax

Practice location:
  • Phone: 510-887-3068
  • Fax: 510-887-3068
Mailing address:
  • Phone: 951-672-3888
  • Fax: 951-672-8599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number41779
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA109325
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: