Individual
ANJALI B NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1920 E CAMBRIDGE AVE STE 200, PHOENIX, AZ 85006
(602) 933-0965
(602) 933-4610
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT194036
PA
2080P0210X
Pediatric Nephrology Physician
Primary
57521
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505991
—
AZ
Enumeration date
11/04/2008
Last updated
08/23/2019
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