Naik, Madhav V

Naik, Madhav V is an individual health care provider with primary practice located at 106 Lukken Industrial Dr W , Lagrange GA 30240-5912. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Naik, Madhav V can be contacted via phone (706) 880-7204.

Contact Information

Primary practice address
106 Lukken Industrial Dr W Lagrange GA 30240-5912
Fax: (706) 880-7289
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 014313 Georgia

Profile Details

NPI number 1033167085
LBN Legal business name Naik, Madhav V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 10th, 2017 - about 9 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 1033167085 NPPES
Georgia Other 026022 BLUE CROSS BLUE SHIELD
Georgia Other 160057215 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 00012515C BLUE CROSS BLUE SHIELD

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