Provider Demographics
NPI:1356323877
Name:NAIK, JAYESH H (MD)
Entity Type:Individual
Prefix:DR
First Name:JAYESH
Middle Name:H
Last Name:NAIK
Suffix:
Gender:M
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:PO BOX 1509
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30077-1509
Mailing Address - Country:US
Mailing Address - Phone:770-436-9700
Mailing Address - Fax:770-736-7307
Practice Address - Street 1:11111 HOUZE RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5663
Practice Address - Country:US
Practice Address - Phone:770-436-9700
Practice Address - Fax:770-736-7307
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0332532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry