Individual
HEMANT R NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6588
(770) 237-1723
Mailing address
6009 N KENT AVE, WHITEFISH BAY, WI 53217-4645
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
039436
CT
207P00000X
Emergency Medicine Physician
Primary
50295
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
BCBS
WI
05
—
34916700
—
WI
01
—
MEDICAL LICENSE
MD60135830
WA
Enumeration date
03/06/2007
Last updated
09/03/2010
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