MEDICARE: NARESH NAYAK 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	207X00000X	Orthopaedic Surgery Physician	18940	WV
2	207X00000X	Orthopaedic Surgery Physician	35062684	OH

General Provider Information

NPI Number	:	1356309108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NARESH NAYAK MD

Provider Business Mailing Address
First Line	:	611 SECOND ST
Second Line	:
City	:	MARIETTA
State	:	OH
Zip	:	45750
Country	:	US
Telephone Number	:	740-373-8756
Fax Number	:	740-373-0091

Provider Business Practice Location Address
First Line	:	2434 RICHMILLER LN UNIT A
Second Line	:
City	:	BELPRE
State	:	OH
Zip	:	45714-1075
Country	:	US
Telephone Number	:	740-373-8756
Fax Number	:

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	08/27/2024

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