Provider Demographics
NPI:1184189748
Name:HUDLIKAR, AKSHAY NITISH (MPT, DPT, GCS, CLT)
Entity Type:Individual
Prefix:DR
First Name:AKSHAY
Middle Name:NITISH
Last Name:HUDLIKAR
Suffix:
Gender:M
Credentials:MPT, DPT, GCS, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CAPPS CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1953
Mailing Address - Country:US
Mailing Address - Phone:909-289-8144
Mailing Address - Fax:
Practice Address - Street 1:30 NORTH PL
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6200
Practice Address - Country:US
Practice Address - Phone:301-695-6618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics