Provider Demographics
NPI:1235711698
Name:NAIK, DIVYA (DO)
Entity type:Individual
Prefix:
First Name:DIVYA
Middle Name:
Last Name:NAIK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 W NORTHWEST HWY STE 400
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-5044
Mailing Address - Country:US
Mailing Address - Phone:214-750-5100
Mailing Address - Fax:214-750-4500
Practice Address - Street 1:4235 W NORTHWEST HWY STE 400
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-5044
Practice Address - Country:US
Practice Address - Phone:214-750-5100
Practice Address - Fax:214-750-4500
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV1200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine