Provider Demographics
NPI:1275066409
Name:NAUT, DELPHIA (MD)
Entity Type:Individual
Prefix:
First Name:DELPHIA
Middle Name:
Last Name:NAUT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DELPHIA
Other - Middle Name:
Other - Last Name:VARADARAJAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:CLARK HEALTH CLINIC BUILDING 5-4257, BASTOGNE STREET
Mailing Address - Street 2:
Mailing Address - City:FORT LIBERTY
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CLARK HEALTH CLINIC BUILDING 5-4257, BASTOGNE ST
Practice Address - Street 2:
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28310-5741
Practice Address - Country:US
Practice Address - Phone:910-907-5163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101266632207R00000X, 208D00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program