Organization
DR. DINESH NAYAK, MD, P.C.
Active
Other names
Pediatric & Adolescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINESH NAYAK MD (PRESIDENT OF THE CORPORATION)
(734) 285-3090
Entity
Organization
Contact information
Practice address
15255 NORTHLINE RD, SOUTHGATE, MI 48195-2487
(734) 285-3090
(734) 285-3095
Mailing address
15255 NORTHLINE RD, SOUTHGATE, MI 48195-2487
(734) 285-3090
(734) 285-3095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DN065279
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022809
MIDWEST HEALTH PLAN
—
01
—
132436
CARE CHOICES ID
—
05
—
4433530
—
MI
01
—
5885732
AETNA
—
01
—
C7880
MCARE ID
—
Enumeration date
01/23/2007
Last updated
08/22/2020
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