Individual
DR. DEEPA NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1236 GUILFORD COLLEGE ROAD, SUITE 117, JAMESTOWN, NC 27282-9875
(336) 299-3161
(336) 299-3180
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2011-01407
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919340
—
NC
Enumeration date
07/07/2008
Last updated
12/23/2021
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