Provider Demographics
NPI:1669447579
Name:NAIDU, ASHA A (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHA
Middle Name:A
Last Name:NAIDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHA
Other - Middle Name:
Other - Last Name:ALAGIRISWAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:190 GROTON RD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1124
Mailing Address - Country:US
Mailing Address - Phone:978-772-1277
Mailing Address - Fax:978-772-1577
Practice Address - Street 1:190 GROTON RD
Practice Address - Street 2:SUITE 290
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1124
Practice Address - Country:US
Practice Address - Phone:978-772-1277
Practice Address - Fax:978-772-1577
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156202207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1447201140OtherNPI
H09311Medicare UPIN