Healthcare Provider Details
I. General information
NPI: 1275473134
Provider Name (Legal Business Name): KARTHIK NAIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 PERRYRIDGE RD
GREENWICH CT
06830-4697
US
IV. Provider business mailing address
8723 SHERWOOD DR
FRISCO TX
75035-8686
US
V. Phone/Fax
- Phone: 203-863-3911
- Fax:
- Phone: 972-876-2942
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: