Individual
DR. PERNANKEL D NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414 W VIRGINIA AVE, EFFINGHAM, IL 62401-2258
(217) 342-9738
(217) 342-9806
Mailing address
414 W VIRGINIA AVE, P O BOX 1169, EFFINGHAM, IL 62401-2258
(217) 342-9738
(217) 342-9806
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036054866
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003058
HEALTHALLIANCE
IL
01
—
02500053
BCBS
IL
05
—
036054866
—
IL
01
—
207387
HEALTHLINK
IL
01
—
622443
TRIGON BC
IL
01
—
87362624
FIRST HEALTH
IL
01
—
CC9824
RAILROAD MEDICARE
IL
Enumeration date
04/20/2006
Last updated
07/21/2022
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