Male or Other

Madhav V. Naik M.D.

Specialist in Lagrange, GA(View on Map)

Full Name

Madhav V Naik M.D.

NPI Number

1033167085

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/04/2006

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

014313

Contact
Information

Purpose

Mailing
Location

Address

106 LUKKEN INDUSTRIAL DR W
106 LUKKEN INDUSTRIAL DR W

City

Lagrange
Lagrange

State

GA
GA

Postal Code

30240-5912
30240-5912

Country

US
US

Telephone Number

(706) 880-7204
(706) 880-7204

Identifiers

Identifier

026022
160057215
00012515C

Identifier State

GA
GA
GA

Identifier Issuer

BLUE CROSS BLUE SHIELD
RAILROAD MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/10/2017

Provider Address

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