Provider Demographics
NPI:1881216398
Name:NAIR, NAMITHA (MBBS)
Entity type:Individual
Prefix:MS
First Name:NAMITHA
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SUNCREST TOWN CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-0589
Mailing Address - Country:US
Mailing Address - Phone:304-293-2804
Mailing Address - Fax:
Practice Address - Street 1:600 SUNCREST TOWN CENTRE DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-0589
Practice Address - Country:US
Practice Address - Phone:304-293-2804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2025-09-14
Deactivation Date:2022-01-11
Deactivation Code:
Reactivation Date:2022-01-24
Provider Licenses
StateLicense IDTaxonomies
WV34343207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology