Healthcare Provider Details

I. General information

NPI: 1831866839
Provider Name (Legal Business Name): UDIT KAMLESH NAIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 V ST
SACRAMENTO CA
95817-1445
US

IV. Provider business mailing address

4400 V ST
SACRAMENTO CA
95817-1445
US

V. Phone/Fax

Practice location:
  • Phone: 832-570-3616
  • Fax:
Mailing address:
  • Phone: 832-570-3616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberA206326
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: