Provider Demographics
NPI:1639481500
Name:NAIR, DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:
Last Name:NAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5708 E LAKE SAMMAMISH PKWY SE STE 102
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-8942
Mailing Address - Country:US
Mailing Address - Phone:425-688-5777
Mailing Address - Fax:425-233-6268
Practice Address - Street 1:5708 E LAKE SAMMAMISH PKWY SE STE 102
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-8942
Practice Address - Country:US
Practice Address - Phone:425-688-5777
Practice Address - Fax:425-233-6268
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60332752207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine