Healthcare Provider Details

I. General information

NPI: 1619961588
Provider Name (Legal Business Name): PRITI NAIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20006 DETROIT RD STE 309
ROCKY RIVER OH
44116-2465
US

IV. Provider business mailing address

19645 PROGRESS DR
STRONGSVILLE OH
44149-3205
US

V. Phone/Fax

Practice location:
  • Phone: 440-657-9973
  • Fax: 440-306-5566
Mailing address:
  • Phone: 440-657-9973
  • Fax: 440-306-5566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number35073559
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: