Provider Demographics
NPI:1558342741
Name:SAITO, NAOYUKI G (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:NAOYUKI
Middle Name:G
Last Name:SAITO
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:317-963-2514
Mailing Address - Fax:
Practice Address - Street 1:2209 JOHN R WOODEN DRIVE
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-1840
Practice Address - Country:US
Practice Address - Phone:765-349-6592
Practice Address - Fax:765-349-6443
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01076005A2085R0001X
NY235396-12085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201327810Medicaid
IN201327810Medicaid
INP01719371Medicare PIN
IN719710006Medicare PIN