Provider Demographics
NPI:1518758143
Name:RAVINATH NAIK, ANAGHA (MD)
Entity type:Individual
Prefix:MS
First Name:ANAGHA
Middle Name:
Last Name:RAVINATH NAIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79-01 BROADWAY, ELMHURST
Mailing Address - Street 2:ROOM C6-04, DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:ELMHURST, QUEENS
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-334-2290
Mailing Address - Fax:
Practice Address - Street 1:79-01 BROADWAY
Practice Address - Street 2:ROOM C6-04, DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-334-2290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program