Individual
NEETA GOPINATH NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 GASTON AVE, SUITE 651, DALLAS, TX 75246-1800
(214) 820-9115
(214) 820-9135
Mailing address
3600 GASTON AVE, SUITE 651, DALLAS, TX 75246-1800
(214) 820-9115
(214) 820-9135
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
K8375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046388701
—
TX
05
—
046388702
—
TX
05
—
046388703
—
TX
05
—
046388704
—
TX
05
—
046388705
—
TX
05
—
046388706
—
TX
05
—
046388707
—
TX
05
—
046388711
—
TX
Enumeration date
07/06/2006
Last updated
02/23/2022
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