Healthcare Provider Details

I. General information

NPI: 1952468258
Provider Name (Legal Business Name): SHAILESH M ASAIKAR MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/24/2022
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SCRIPPS DR STE 303
SACRAMENTO CA
95825-6206
US

IV. Provider business mailing address

1 SCRIPPS DR STE 303
SACRAMENTO CA
95825-6206
US

V. Phone/Fax

Practice location:
  • Phone: 916-649-9800
  • Fax: 916-649-9801
Mailing address:
  • Phone: 916-649-9800
  • Fax: 916-649-9801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number
License Number State

VIII. Authorized Official

Name: VANDANA ASAIKAR
Title or Position: OFFICE MANAGER
Credential:
Phone: 916-649-9800