Individual
PRASHANT NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL VILLAGE DR, DEPARTMENT OF ANESTHESIOLOGY, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11720
—
LA
05
—
201178400
—
IN
01
—
611077369001
HEALTHNET
—
05
—
7100264260
—
KY
Enumeration date
05/20/2008
Last updated
01/06/2014
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