Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A83317 | CA |
N | 111NI0900X | Internist | A83317 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | 42224 | AZ |
Y | 207RI0011X | Interventional Cardiology | 42224 | AZ |
NPI | 1124139423 |
---|---|
Provider Name | Dr. Hursh Naik |
First Address | Phoenix, AZ 85032-2139 |
Second Address | Avondale, AZ 85392-5010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 14/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
454981 | (05) | AZ |