1508603028 NPI number — UNIFIED MEDICAL EQUIPMENT SOLUTIONS, JACKSONVILLE

Table of content: TEJ KISHOR NAIK M.D. (NPI 1801920806)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508603028 NPI number — UNIFIED MEDICAL EQUIPMENT SOLUTIONS, JACKSONVILLE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIFIED MEDICAL EQUIPMENT SOLUTIONS, JACKSONVILLE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508603028
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2805 MID CITIES DR STE 5
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BENTONVILLE
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72712-4291
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
479-364-0043
Provider Business Mailing Address Fax Number:
479-364-0413

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 BRADEN ST STE 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72076-3721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-453-5650
Provider Business Practice Location Address Fax Number:
501-453-6820
Provider Enumeration Date:
07/11/2024

Additional Information

Authorized Official

Authorized Official Last Name:
GOWAN
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
REVENUE INTEGRITY COORDINATOR
Authorized Official Telephone Number:
479-364-0043

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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