MEDICARE: DR. RAJANKUMAR 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
1	207R00000X	Internal Medicine Physician	ME50065	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841224458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJANKUMAR NAIK MD

Provider Business Mailing Address
First Line	:	1501 PRESIDENTIAL WAY STE 12
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-1852
Country	:	US
Telephone Number	:	561-471-9484
Fax Number	:	561-471-9484

Provider Business Practice Location Address
First Line	:	1501 PRESIDENTIAL WAY STE 12
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-1852
Country	:	US
Telephone Number	:	561-471-9484
Fax Number	:	561-471-9484

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	08/23/2015

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