Provider Demographics
NPI:1821041518
Name:NAIK, ASHOK P (MD)
Entity Type:Individual
Prefix:
First Name:ASHOK
Middle Name:P
Last Name:NAIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4156 W MAIN STREET RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1239
Mailing Address - Country:US
Mailing Address - Phone:585-344-0871
Mailing Address - Fax:585-344-0079
Practice Address - Street 1:4156 W MAIN STREET RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1291
Practice Address - Country:US
Practice Address - Phone:585-344-0871
Practice Address - Fax:585-344-0079
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145856207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00681627Medicaid
NY11480AMedicare PIN
NY00681627Medicaid