Bannanje S Nayak, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

00A43182 Issued in CA

Practice address

39001 Sundale Dr
Fremont, CA 94538-2005

Phone

(510) 796-2579

Fax

(510) 796-2589

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nanda Nayak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477656262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PIERCE ST APT 3107",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061072",
            "telephone_number": "510-796-2579",
            "fax_number": "510-796-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39001 SUNDALE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382005",
            "telephone_number": "510-796-2579",
            "fax_number": "510-796-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "BANNANJE",
        "middle_name": "S",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "00A43182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANDA",
            "last_name": "NAYAK",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Michael Navarro, NP
• Ricardo F Navarro, M.D.
• Farida Nawabi
• Roshnibahen Nawal
• Asha Nayak
• Carolina Nayak, MA, BCBA
• Madhabika B. Nayak, PH.D.
• Guy Gabriel Nazareno, DDS
• Nikhat Nazneen, MD
• Nba Serra Residental Center

• Psychiatry Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.