Provider Demographics
NPI:1720235146
Name:SKARIA, NIYATI (MD)
Entity Type:Individual
Prefix:
First Name:NIYATI
Middle Name:
Last Name:SKARIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIYATI
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3814 AUBURN BLVD
Mailing Address - Street 2:SUITE 72
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-2123
Mailing Address - Country:US
Mailing Address - Phone:916-426-1902
Mailing Address - Fax:916-426-1940
Practice Address - Street 1:3814 AUBURN BLVD
Practice Address - Street 2:SUITE 72
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2123
Practice Address - Country:US
Practice Address - Phone:916-426-1902
Practice Address - Fax:916-426-1940
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY258343390200000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program