Provider Demographics
NPI:1952587453
Name:NAIK, SAMEER SADANAND (MD)
Entity Type:Individual
Prefix:
First Name:SAMEER
Middle Name:SADANAND
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 1:461 W HURON ST
Mailing Address - Street 2:NORTH OAKLAND MEDICAL CENTERS, FAMILY MEDICINE CENTER
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1601
Mailing Address - Country:US
Mailing Address - Phone:732-986-8287
Mailing Address - Fax:
Practice Address - Street 1:461 W HURON ST
Practice Address - Street 2:NORTH OAKLAND MEDICAL CENTERS, FAMILY MEDICINE CENTER
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1601
Practice Address - Country:US
Practice Address - Phone:732-986-8287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301089388390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program