Most Relevant Information
Provider Data
| NPI Number: | 1003019209 |
| Provider Name: | DEEPAK S NAIR M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084N0400X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 125052064 |
Most Important Dates
| Enumeration Date: | 06/06/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
530 NE GLEN OAK AVE
PEORIA
IL
616370001
Practice Location Phone/Fax
| Phone: | 3096552000 |
| Fax: |
Provider Mailing Location
2404 W SHERMAN AVE
WEST PEORIA
IL
616045460
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Neurology EMR