Nayak, Pradeep R.

Nayak, Pradeep R. is an individual health care provider with primary practice located at 130 Park St Se Ste 100, Vienna VA 22180-4626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Nayak, Pradeep R. can be contacted via phone (703) 281-1265.

Contact Information

Primary practice address
130 Park St Se Ste 100 Vienna VA 22180-4626
Phone: (703) 281-1265
Fax: (703) 255-0571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101049006 Virginia

Profile Details

NPI number 1922000181
LBN Legal business name Nayak, Pradeep R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Aug 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922000181 NPPES
Virginia Other 060062643 RAILROAD MEDICARE VA#
Virginia MEDICAID 112300900 RAILROAD MEDICARE VA#
Virginia MEDICAID 031739300 RAILROAD MEDICARE VA#
Virginia MEDICAID 1922000181 RAILROAD MEDICARE VA#
Virginia Other 060034779 RAILROAD MEDICARE VA#

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