MEDICARE: NILAN NAIK M.D.

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	2085R0001X	Radiation Oncology Physician	S5025	TX

General Provider Information

NPI Number	:	1437544228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NILAN NAIK M.D.

Provider Business Mailing Address
First Line	:	5001 S COOPER ST STE 201
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5993
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 OAKMONT BLVD STE 101
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3918
Country	:	US
Telephone Number	:	214-857-0142
Fax Number	:

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

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	09/18/2022

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