Healthcare Provider Details

I. General information

NPI: 1710815105
Provider Name (Legal Business Name): SACHIDANANDAN NAIDU, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13901 MCAULEY BLVD STE 301
OKLAHOMA CITY OK
73134-8704
US

IV. Provider business mailing address

13901 MCAULEY BLVD STE 301
OKLAHOMA CITY OK
73134-8704
US

V. Phone/Fax

Practice location:
  • Phone: 405-205-2918
  • Fax:
Mailing address:
  • Phone: 405-748-4343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SACHIDANANDAN NIKHIL NAIDU
Title or Position: PHYSICIAN
Credential: MD
Phone: 405-205-2918