Individual
PRADEEP R. NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 305, FAIRFAX, VA 22033-1764
(703) 648-3266
(703) 648-3264
Mailing address
3580 JOSEPH SIEWICK DR STE 305, FAIRFAX, VA 22033-1764
(703) 648-3266
(703) 591-1660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101049006
VA
207RA0002X
Adult Congenital Heart Disease Physician
0101049006
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101049006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031739300
—
DC
01
—
060034779
RAILROAD MEDICARE DC #
DC
01
—
060062643
RAILROAD MEDICARE VA#
VA
05
—
112300900
—
MD
05
—
1922000181
—
VA
Enumeration date
06/01/2005
Last updated
02/20/2026
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