Basic Information
Provider Information
NPI: 1497068613
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAIR
FirstName: ANUPAMA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 16TH AVE E
Address2:  
City: SEATTLE
State: WA
PostalCode: 981125226
CountryCode: US
TelephoneNumber: 2063263000
FaxNumber:  
Practice Location
Address1: 201 16TH AVE E
Address2:  
City: SEATTLE
State: WA
PostalCode: 981125226
CountryCode: US
TelephoneNumber: 2063263000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/16/2010
LastUpdateDate: 04/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD60359632WAN Allopathic & Osteopathic PhysiciansHospitalist 
207RN0300XMD60359632WAY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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