Provider Demographics
NPI:1518051895
Name:NAIK, NALINI M (MD)
Entity Type:Individual
Prefix:DR
First Name:NALINI
Middle Name:M
Last Name:NAIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NALINI
Other - Middle Name:
Other - Last Name:DESAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2311 TEXAS DR
Mailing Address - Street 2:SUITE#106
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-7071
Mailing Address - Country:US
Mailing Address - Phone:214-400-4011
Mailing Address - Fax:
Practice Address - Street 1:2311 TEXAS DR
Practice Address - Street 2:SUITE#106
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-7071
Practice Address - Country:US
Practice Address - Phone:214-400-4011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6988174400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130397608Medicaid
TX453114ZTD5Medicare PIN
TXD67486Medicare UPIN
TX8B1214Medicare PIN
TX453114YLPFMedicare PIN