Individual
ATMA PRAKASH NAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 SHARPE ST, KINGSTON, PA 18704-3715
(570) 991-8810
Mailing address
42 HOLIDAY DR, APT#171, KINGSTON, PA 18704-5347
(570) 991-8810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT204988
PA
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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