Provider Demographics
NPI:1104811132
Name:NAIR, KESAV G (MD)
Entity type:Individual
Prefix:DR
First Name:KESAV
Middle Name:G
Last Name:NAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:40 CROSS ST
Mailing Address - Street 2:4TH FL
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4647
Mailing Address - Country:US
Mailing Address - Phone:203-845-4898
Mailing Address - Fax:203-845-4897
Practice Address - Street 1:40 CROSS ST
Practice Address - Street 2:4TH FL
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4647
Practice Address - Country:US
Practice Address - Phone:203-845-4898
Practice Address - Fax:203-845-4897
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2011-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT020722207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001207224Medicaid
CTD88798Medicare UPIN
CT001207224Medicaid