Individual
DINESH U. NAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 E 2ND ST, MANCHESTER, OH 45144-1302
(937) 549-2691
(937) 549-3158
Mailing address
28 E 2ND ST, MANCHESTER, OH 45144-1302
(937) 549-2691
(937) 549-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-06-7339N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000209652
ANTHEM
OH
05
—
0118643
—
OH
01
—
31179353200
BWC
OH
01
—
67339
CHOICE CARE
OH
Enumeration date
05/23/2005
Last updated
01/08/2008
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