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General NPI Number Information
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NPI Number | 1427275437
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Entity Type | Individual
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Provider Name | JAY B NAYAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 2000 E GREENVILLE ST CANCER CENTER 3RD FLOOR
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City | ANDERSON
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State | SC
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Zip | 29621-1580
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Country | US
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Telephone | 864-512-4580
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Fax | 864-512-4585
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Provider Business Mailing Address
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Address Line | PO BOX 100174
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City | COLUMBIA
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State | SC
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Zip | 29202-3174
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Country | US
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Telephone | 864-512-4580
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Fax | 864-512-4585
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 4301097997
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 39610
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License Number State | SC
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