Gopal K Nair MD LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

GOPAL K NAIR MD LLC

Practice address

35 Sugar Maple LN
Saint Charles, MO 63303-5740

Phone

(636) 946-8887

NPI assigned

Oct 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gopal K Nair, MD

Title

Owner

Phone

(314) 591-7646

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1255974697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 ARLINGTON OAKS TER",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SUGAR MAPLE LN",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035740",
            "telephone_number": "636-946-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOPAL K NAIR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-591-7646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NONE",
            "affiliation": "N",
            "address_1": "1023 Arlington Oaks Ter",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630175936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.