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NPI Code Detail

MEDICARE: DR. HEMANG NAIK MD

MEDICARE:  DR. HEMANG  NAIK  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207RA0401XAddiction Medicine (Internal Medicine) Physician0000049721TN

General Provider Information

NPI Number : 1366682106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEMANG NAIK MD
Provider Business Mailing Address
First Line : 2406 SUSANNAH ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-1725
Country : US
Telephone Number : 423-928-1393
Fax Number : 423-928-1392
Provider Business Practice Location Address
First Line : 2406 SUSANNAH ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-1725
Country : US
Telephone Number : 423-928-1393
Fax Number : 423-928-1392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2009
Last Update Date : 06/24/2021

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