Individual
SHANTANU SHREEPAD NAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 MEDICAL PKWY STE 412, CEDAR PARK, TX 78613-5015
(512) 379-3636
(512) 379-3641
Mailing address
6300 LA CALMA DR., STE. 200, AUSTIN, TX 78752-3825
(888) 800-8237
(512) 610-0392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301078639
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M5396
TX
207RP1001X
Pulmonary Disease Physician
Primary
M5396
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
M5396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8X6780
BCBSTX PIN
TX
Enumeration date
12/13/2006
Last updated
02/04/2022
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