Provider Demographics
NPI:1407011927
Name:NAIDU, KARTHIK KANAKASUNDARAM (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:KARTHIK
Middle Name:KANAKASUNDARAM
Last Name:NAIDU
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 UNIVERSITY POINTE BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-5026
Mailing Address - Country:US
Mailing Address - Phone:704-549-8020
Mailing Address - Fax:
Practice Address - Street 1:5700 UNIVERSITY POINTE BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-5026
Practice Address - Country:US
Practice Address - Phone:704-549-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC99101223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery