Provider Demographics
NPI:1043246531
Name:NAYAK, KESHAV R (MD)
Entity Type:Individual
Prefix:DR
First Name:KESHAV
Middle Name:R
Last Name:NAYAK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9434 COMPASS POINT DR S
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-5561
Mailing Address - Country:US
Mailing Address - Phone:858-578-4968
Mailing Address - Fax:858-578-4968
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:NMCSD
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-7400
Practice Address - Fax:619-532-9863
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA72112207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease