Bairanje R Nayak PHD Od INC

NPI #1205022720 in Mansfield, Ohio

Provider Information

NPI Number: 1205022720
Entity Type: Organization
Organization Name: Bairanje R Nayak PHD Od INC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Sep 18, 2007
Last Updated: Feb 5, 2010

Practice Location

Address: 1456 PARK AVE W
Address 2: SUITE R
City: Mansfield
State: Ohio
ZIP Code: 44906-2700
Phone: (419) 529-6699

Authorized Official

Name: DR. BAIRANJE R NAYAK, OD
Title: PRESIDENT
Phone: (419) 529-6699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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