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Organization

BHADRESH NAYAK MD PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BHADRESH D NAYAK MD (OWNER AND PHYSICIAN)
(586) 268-3009
Entity
Organization

Contact information

Practice address
8202 IRVING RD, SUITE 100, STERLING HEIGHTS, MI 48312-4614
(586) 268-3009
(586) 268-0058
Mailing address
8202 IRVING RD, SUITE 100, STERLING HEIGHTS, MI 48312-4614
(586) 268-3009
(586) 268-0058

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301058004
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110500378
BLUE CROSS BLUE SHIELD
MI
05
4122155
MI
Enumeration date
11/27/2006
Last updated
06/20/2008
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