Healthcare Provider Details

I. General information

NPI: 1205416682
Provider Name (Legal Business Name): AADITI GURUPRASAD NAIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2021
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

749 UNIVERSITY ROW STE 200
MADISON WI
53705-1465
US

IV. Provider business mailing address

902 DRAKE ST APT 409
MADISON WI
53715-1686
US

V. Phone/Fax

Practice location:
  • Phone: 608-263-6400
  • Fax:
Mailing address:
  • Phone: 715-551-0390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number83033-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: