Provider Demographics
NPI:1578661187
Name:NAIK, SUNIL S (MD)
Entity Type:Individual
Prefix:
First Name:SUNIL
Middle Name:S
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 1:5373 W ALABAMA ST STE 135
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5930
Mailing Address - Country:US
Mailing Address - Phone:713-450-4945
Mailing Address - Fax:713-450-4928
Practice Address - Street 1:11821 EAST FWY
Practice Address - Street 2:SUITE 135
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1975
Practice Address - Country:US
Practice Address - Phone:713-450-4945
Practice Address - Fax:713-450-4928
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3803207R00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1111171Medicaid