Provider Demographics
NPI:1841224458
Name:NAIK, RAJANKUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJANKUMAR
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 1:1501 PRESIDENTIAL WAY STE 12
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-1852
Mailing Address - Country:US
Mailing Address - Phone:561-471-9484
Mailing Address - Fax:561-471-9484
Practice Address - Street 1:1501 PRESIDENTIAL WAY STE 12
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-1852
Practice Address - Country:US
Practice Address - Phone:561-471-9484
Practice Address - Fax:561-471-9484
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2015-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50065207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL046544500Medicaid
FL04252RMedicare PIN