Healthcare Provider Details

I. General information

NPI: 1295053767
Provider Name (Legal Business Name): ANNIE NAIK GADIPARTHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNIE KANTI NAIK M.D.

II. Dates (important events)

Enumeration Date: 05/09/2010
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2262 S GERMANTOWN RD
GERMANTOWN TN
38138-3805
US

IV. Provider business mailing address

1661 INTERNATIONAL DR STE 400
MEMPHIS TN
38120-1431
US

V. Phone/Fax

Practice location:
  • Phone: 901-753-4300
  • Fax:
Mailing address:
  • Phone: 901-206-4495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberE-19600
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number52324
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberE-19600
License Number StateAR
# 4
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number52324
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: