Basic Information
| Provider Information | |||||||||
| NPI: | 1730486184 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | NAIK | ||||||||
| FirstName: | ARCHIT | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 E OLNEY AVENUE | ||||||||
| Address2: | PROVIDER ENROLLMENT SUITE 400 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191202421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154567000 | ||||||||
| FaxNumber: | 2154565926 | ||||||||
| Practice Location | |||||||||
| Address1: | 8835 GERMANTOWN AVE | ||||||||
| Address2: | SUITE 46 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327410970 | ||||||||
| FaxNumber: | 7327472606 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2011 | ||||||||
| LastUpdateDate: | 02/07/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD429666 | PA | Y | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 25MA08944300 | NJ | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.