Provider Demographics
NPI:1245327279
Name:NAIDU, SASHI (MD)
Entity type:Individual
Prefix:DR
First Name:SASHI
Middle Name:
Last Name:NAIDU
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 1:1583 HEALTH CARE DR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3858
Mailing Address - Country:US
Mailing Address - Phone:803-329-7772
Mailing Address - Fax:803-329-9821
Practice Address - Street 1:1583 HEALTH CARE DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3858
Practice Address - Country:US
Practice Address - Phone:803-329-7772
Practice Address - Fax:803-329-9821
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28287207RH0003X
NC2005-01453207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2005-01453OtherSTATE LICENSE
SC282875Medicaid
SC28287OtherSTATE LICENSE
NC2005-01453OtherSTATE LICENSE
SC282875Medicaid