Individual
SANDEEP NAIDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6301
(570) 271-5976
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6301
(570) 271-5976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD426815
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020597800
—
FL
01
—
2V7I6
BCBS
FL
01
—
JB587V
MEDICARE PTAN OHRI
FL
01
—
PS303
MEDICARE PTAN OHMG
FL
Enumeration date
07/07/2006
Last updated
01/05/2026
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