Provider Demographics
NPI:1871550186
Name:NAIR, BHARATHY V (MD)
Entity type:Individual
Prefix:
First Name:BHARATHY
Middle Name:V
Last Name:NAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3375 BURNS ROAD SUITE 107
Mailing Address - Street 2:MCCI GROUP HOLDINGS LLC
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4360
Mailing Address - Country:US
Mailing Address - Phone:561-626-7929
Mailing Address - Fax:561-626-4415
Practice Address - Street 1:3375 BURNS ROAD
Practice Address - Street 2:SUITE 107
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-626-7929
Practice Address - Fax:561-626-4415
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME84238207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME84238OtherLICENSE
37985AMedicare ID - Type Unspecified
B55301Medicare UPIN