MEDICARE: TEJAL ULHAS NAIK M.D.

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	208M00000X	Hospitalist Physician	MD468047	PA
2	207R00000X	Internal Medicine Physician	C1-0029309	DE
3	207R00000X	Internal Medicine Physician	MD468047	PA

General Provider Information

NPI Number	:	1871957324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEJAL ULHAS NAIK M.D.

Provider Business Mailing Address
First Line	:	2301 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-3542
Country	:	US
Telephone Number	:	215-952-9368
Fax Number	:	215-952-9014

Provider Business Practice Location Address
First Line	:	2301 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-3542
Country	:	US
Telephone Number	:	215-952-9368
Fax Number	:	215-952-9014

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

Provider Enumeration Date	:	04/11/2016
Last Update Date	:	03/13/2026

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