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NPI Code Detail

MEDICARE: SANDEEP NAIDU MD

MEDICARE: SANDEEP NAIDU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianMD426815PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS303OTHERFLMEDICARE PTAN OHMG
2JB587VOTHERFLMEDICARE PTAN OHRI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
32V7I6OTHERFLBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437181971
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDEEP NAIDU MD
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6301
Fax Number : 570-271-5976
Provider Business Practice Location Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-9800
Country : US
Telephone Number : 570-271-6301
Fax Number : 570-271-5976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 01/05/2026

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Directions to “ SANDEEP NAIDU MD” Practice Location

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