MEDICARE: R K NAIR MD PA

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	F2817	TX

General Provider Information

NPI Number	:	1023327053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R K NAIR MD PA

Provider Business Mailing Address
First Line	:	7505 GLENVIEW DR
Second Line	:	G
City	:	FORT WORTH
State	:	TX
Zip	:	76180-8335
Country	:	US
Telephone Number	:	817-284-9225
Fax Number	:	817-590-0601

Provider Business Practice Location Address
First Line	:	7505 GLENVIEW DR
Second Line	:	G
City	:	FORT WORTH
State	:	TX
Zip	:	76180-8335
Country	:	US
Telephone Number	:	817-284-9225
Fax Number	:	817-590-0601

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAMESCHANDRAN K NAIR
Credential	:	M.D
Telephone Number	:	817-284-9225

Provider Enumeration Date	:	09/24/2010
Last Update Date	:	11/03/2010

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