Basic Information
Provider Information
NPI: 1235594573
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAIR
FirstName: ARADHANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherLastName:  
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Mailing Information
Address1: 130 SUTTER STREET
Address2: 2ND FLOOR
City: SAN FRANCISCO
State: CA
PostalCode: 941044009
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber: 4155200904
Practice Location
Address1: 4 EMBARCADERO CTR LBBY LEVEL
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941114130
CountryCode: US
TelephoneNumber: 4155294566
FaxNumber: 4152910489
Other Information
ProviderEnumerationDate: 12/30/2015
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XNP95003497CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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