Healthcare Provider Details
I. General information
NPI: 1144891334
Provider Name (Legal Business Name): SARVESH SUNIL NAIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/08/2021
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
620 HOWARD AVE
ALTOONA PA
16601-4804
US
IV. Provider business mailing address
620 HOWARD AVE FL 1
ALTOONA PA
16601-4804
US
V. Phone/Fax
- Phone: 814-889-2011
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | MD487725 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD487725 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: