Provider Demographics
NPI:1770695181
Name:ASAIKAR, SHAILESH MANOHAR (MD)
Entity type:Individual
Prefix:DR
First Name:SHAILESH
Middle Name:MANOHAR
Last Name:ASAIKAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 EXPOSITION BLVD
Mailing Address - Street 2:BLDG 700, STE 102
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4314
Mailing Address - Country:US
Mailing Address - Phone:916-648-9800
Mailing Address - Fax:916-649-9801
Practice Address - Street 1:1111 EXPOSITION BLVD
Practice Address - Street 2:BLDG 700, STE 102
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4314
Practice Address - Country:US
Practice Address - Phone:916-648-9800
Practice Address - Fax:916-649-9801
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA0493542080P0008X
CAA493542084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A493540Medicaid
CA00A493540Medicaid