Provider Demographics
NPI:1164657177
Name:HERRIN, NAISHAI R (MD)
Entity Type:Individual
Prefix:
First Name:NAISHAI
Middle Name:R
Last Name:HERRIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3523 OREGON OAK DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-4809
Mailing Address - Country:US
Mailing Address - Phone:828-446-9308
Mailing Address - Fax:
Practice Address - Street 1:3523 OREGON OAK DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-4809
Practice Address - Country:US
Practice Address - Phone:828-446-9308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0074189208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics