Provider Demographics
NPI:1134506330
Name:NAIDU, GIRIJA V (DDS)
Entity Type:Individual
Prefix:
First Name:GIRIJA
Middle Name:V
Last Name:NAIDU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 S HIAWASSEE RD STE 135
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-6439
Mailing Address - Country:US
Mailing Address - Phone:407-293-8324
Mailing Address - Fax:407-298-7810
Practice Address - Street 1:625 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620
Practice Address - Country:US
Practice Address - Phone:585-275-5087
Practice Address - Fax:585-273-1235
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN233151223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No1223G0001XDental ProvidersDentistGeneral Practice