Provider Demographics
NPI:1508471533
Name:NAIK, NEEL PANKAJKUMAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEEL
Middle Name:PANKAJKUMAR
Last Name:NAIK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 S 32ND ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-5008
Mailing Address - Country:US
Mailing Address - Phone:918-360-6306
Mailing Address - Fax:
Practice Address - Street 1:304 N YORK ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-4658
Practice Address - Country:US
Practice Address - Phone:918-683-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist