Individual
NAYAN S GOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2340 S HIGHLAND AVE STE 160, LOMBARD, IL 60148
(630) 495-9356
(630) 495-3770
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036128858
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000269308
HMSA BILLING NUMBER
HI
05
—
036128858
—
IL
05
—
599673-01
—
HI
Enumeration date
09/19/2007
Last updated
01/25/2023
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