Provider Demographics
NPI:1538366448
Name:NAIR, RANI (MD)
Entity type:Individual
Prefix:DR
First Name:RANI
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RANI
Other - Middle Name:
Other - Last Name:RADHAMMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3231 S NATIONAL MERCY ENDOCRINOLOGY
Mailing Address - Street 2:6446 S VALLEY BROOK CT
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65810
Mailing Address - Country:US
Mailing Address - Phone:314-308-1320
Mailing Address - Fax:417-888-6793
Practice Address - Street 1:3231 S NATIONAL MERCY ENDOCRINEOLOGY
Practice Address - Street 2:STE 440
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65810
Practice Address - Country:US
Practice Address - Phone:417-888-5680
Practice Address - Fax:417-888-6793
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMO2007028027207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2007028027Medicaid