Provider Demographics
NPI:1922727775
Name:NAIK, MONIKA AKKAPPA
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:AKKAPPA
Last Name:NAIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 EL CAMINO REAL APT 222
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-3990
Mailing Address - Country:US
Mailing Address - Phone:510-241-8977
Mailing Address - Fax:
Practice Address - Street 1:2580 EL CAMINO REAL APT 222
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-3990
Practice Address - Country:US
Practice Address - Phone:510-241-8977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107857122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist