Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD61088975 | WA |
N | 111NI0900X | Internist | MD61088975 | WA |
N | 207R00000X | Internist | R5604 | TX |
N | 111NI0900X | Internist | R5604 | TX |
N | 207RH0000X | Hematologist | MD61088975 | WA |
N | 207RH0003X | Hematology & Oncology | 2021-00253 | NC |
N | 207RH0003X | Hematology & Oncology | 51703-20 | WI |
N | 207RH0003X | Hematology & Oncology | MD61088975 | WA |
Y | 207RH0003X | Hematology & Oncology | R5604 | TX |
N | 207RX0202X | Medical Oncology | MD61088975 | WA |
N | 207RX0202X | Medical Oncology | R5604 | TX |
NPI | 1447319512 |
---|---|
Provider Name | Dr. Niravkumar A Naik |
First Address | Pearland, TX 77584-5900 |
Second Address | Baytown, TX 77521-3160 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100023768 | (05) | WI |
1447319512 | (05) | NC |