Provider Demographics
NPI:1366682106
Name:NAIK, HEMANG (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMANG
Middle Name:
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 1:2406 SUSANNAH ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1725
Mailing Address - Country:US
Mailing Address - Phone:423-928-1393
Mailing Address - Fax:423-928-1392
Practice Address - Street 1:2406 SUSANNAH ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-1725
Practice Address - Country:US
Practice Address - Phone:423-928-1393
Practice Address - Fax:423-928-1392
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN0000049721207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program