Sudha R N Nair, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD069144L Issued in PA

Practice address

150 Strafford Ave Ste 210
Wayne, PA 19087

Phone

(610) 293-6959

Fax

(505) 485-0791

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 19, 2014 through Jun 19, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Horizon House - Delaware Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, DE
  • NPI 1881719268
  NPD (past)
• State of Delaware

  • Public Health or Welfare Agency
  • Dover, DE
  • NPI 1013089895
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1346340593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 STRAFFORD AVE STE 210",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873114",
            "telephone_number": "610-293-6959",
            "fax_number": "505-485-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 STRAFFORD AVE STE 210",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "610-293-6959",
            "fax_number": "505-485-0791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191393205",
            "country_code": "US",
            "telephone_number": "215-748-8400 x1835",
            "fax_number": "215-748-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIR",
        "first_name": "SUDHA",
        "middle_name": "R N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD069144L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Mark Mulholland, DO
• Andrew Mullen, LPC
• Narmien Murdock, MD
• Alexandra M Muscella, OTR/L
• Pamela H Nagy, MD
• Nancy McCarel, PHD and Associates, LLC
• Jeffrey Allen Naser, M.D.
• Nancy Salt Nath, PT
• NC Battafarano, MD PC
• Toby G Needleman

• Psychiatry Physician in Wayne, PA
• Providers in Wayne, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.