MEDICARE: DR. JYOTI GOVINDAN 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	208000000X	Pediatrics Physician	N7316	TX

General Provider Information

NPI Number	:	1639365471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JYOTI GOVINDAN NAIR M.D

Provider Business Mailing Address
First Line	:	830 S MASON RD STE B6
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-3863
Country	:	US
Telephone Number	:	281-392-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 S MASON RD STE B6
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-3863
Country	:	US
Telephone Number	:	281-392-2700
Fax Number	:

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

Provider Enumeration Date	:	09/14/2007
Last Update Date	:	08/16/2024

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