1962865261 NPI number — YASHODA GURUPRASAD NAIK M.D.

Table of content: YASHODA GURUPRASAD NAIK M.D. (NPI 1962865261)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962865261 NPI number — YASHODA GURUPRASAD NAIK M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAIK
Provider First Name:
YASHODA
Provider Middle Name:
GURUPRASAD
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MALAYE
Provider Other First Name:
MITA
Provider Other Middle Name:
VASANT
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1962865261
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/31/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UW HOSPITAL AND CLINICS
Provider Second Line Business Mailing Address:
600 HIGHLAND AVE
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53792-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-263-6400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UW HOSPITAL AND CLINICS
Provider Second Line Business Practice Location Address:
600 HIGHLAND AVE
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53792-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-263-6400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  46642 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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