Basic Information
| Provider Information | |||||||||
| NPI: | 1699111252 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | NAIK | ||||||||
| FirstName: | NEIL | ||||||||
| MiddleName: | DOLATRAI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 MANNING DR | ||||||||
| Address2: | DEPT. OF PSYCHIATRY, CB# 7160 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199664764 | ||||||||
| FaxNumber: | 9199669646 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 MANNING DR | ||||||||
| Address2: | DEPT. OF PSYCHIATRY, CB# 7160 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199664764 | ||||||||
| FaxNumber: | 9199669646 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2013 | ||||||||
| LastUpdateDate: | 01/04/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 192105 | NC | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2084P0015X | 192105 | NC | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychosomatic Medicine |
No ID Information.