Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 0000049721 | TN |
NPI | 1366682106 |
---|---|
Provider Name | Dr. Hemang Naik |
First Address | Johnson City, TN 37601-1725 |
Second Address | Johnson City, TN 37601-1725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2009 |
Last Update Date | 24/06/2021 |