Provider Demographics
NPI:1396494100
Name:GAIKHE, SARIKA VISHNU
Entity type:Individual
Prefix:
First Name:SARIKA
Middle Name:VISHNU
Last Name:GAIKHE
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 1:5850 BELT LINE RD APT 2113
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7747
Mailing Address - Country:US
Mailing Address - Phone:248-977-0668
Mailing Address - Fax:
Practice Address - Street 1:5850 BELT LINE RD APT 2113
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7747
Practice Address - Country:US
Practice Address - Phone:248-977-0668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-20
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1340612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist