Organization
KAMLESH D. NAYAK, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMLESH D NAYAK MD (PHYSICIAN)
(770) 489-8165
Entity
Organization
Contact information
Practice address
4904 TIMBER RIDGE DR, STE 102, DOUGLASVILLE, GA 30135
(770) 489-8165
Mailing address
4904 TIMBER RIDGE DR, STE 102, DOUGLASVILLE, GA 30135
(770) 489-8165
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
032003
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00517283C
—
GA
Enumeration date
12/11/2006
Last updated
05/30/2008
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