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NPI Code Detail

MEDICARE: MOHAN NAIR MD

MEDICARE:   MOHAN  NAIR  MD
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
12084P0804XChild & Adolescent Psychiatry PhysicianA34249CA

General Provider Information

NPI Number : 1407827769
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAN NAIR MD
Provider Business Mailing Address
First Line : 133 THE PROMENADE N STE 108
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4728
Country : US
Telephone Number : 562-495-3937
Fax Number : 562-206-0371
Provider Business Practice Location Address
First Line : 133 THE PROMENADE N STE 108
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4728
Country : US
Telephone Number : 562-495-3937
Fax Number : 562-206-0371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 01/22/2015

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Directions to “ MOHAN NAIR MD” Practice Location

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