MEDICARE: DR. KASH 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	207Q00000X	Family Medicine Physician	A109544	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A109544	OTHER	CA	CA LICENSE A109544

General Provider Information

NPI Number	:	1134454283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KASH NAIR M.D.

Provider Business Mailing Address
First Line	:	6553 E PACIFIC COAST HWY # H9
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-4202
Country	:	US
Telephone Number	:	562-596-8700
Fax Number	:	562-596-8708

Provider Business Practice Location Address
First Line	:	6553 E PACIFIC COAST HWY # H9
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-4202
Country	:	US
Telephone Number	:	562-596-8700
Fax Number	:	562-596-8708

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

Provider Enumeration Date	:	10/07/2009
Last Update Date	:	05/14/2025

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