Provider Demographics
NPI:1730486184
Name:NAIK, ARCHIT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ARCHIT
Middle Name:A
Last Name:NAIK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 E OLNEY AVENUE
Mailing Address - Street 2:PROVIDER ENROLLMENT SUITE 400
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2421
Mailing Address - Country:US
Mailing Address - Phone:215-456-7000
Mailing Address - Fax:215-456-5926
Practice Address - Street 1:8835 GERMANTOWN AVE
Practice Address - Street 2:SUITE 46
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118
Practice Address - Country:US
Practice Address - Phone:732-741-0970
Practice Address - Fax:732-747-2606
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2019-02-07
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Provider Licenses
StateLicense IDTaxonomies
PAMD429666208600000X
NJ25MA08944300208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery