Healthcare Provider Details

I. General information

NPI: 1861484248
Provider Name (Legal Business Name): APURWA S NAIK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S GRANT AVE
COLUMBUS OH
43215-4701
US

IV. Provider business mailing address

285 E STATE ST SUITE 520
COLUMBUS OH
43215-4354
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-9000
  • Fax:
Mailing address:
  • Phone: 614-566-9683
  • Fax: 614-566-8046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number35078500
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: