MEDICARE: KAVITHA NAIDU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	OT5870	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265440424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAVITHA NAIDU

Provider Business Mailing Address
First Line	:	2987 SUMMER SWAN DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-7405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2987 SUMMER SWAN DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-7405
Country	:	US
Telephone Number	:	407-421-7284
Fax Number	:	407-382-4210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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Directions to “ KAVITHA NAIDU ” Practice Location

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