Basic Information
| Provider Information | |||||||||
| NPI: | 1558342741 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAITO | ||||||||
| FirstName: | NAOYUKI | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 250 N SHADELAND AVE | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462194959 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179632514 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2209 JOHN R WOODEN DRIVE | ||||||||
| Address2: | |||||||||
| City: | MARTINSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461511840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7653496592 | ||||||||
| FaxNumber: | 7653496443 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2005 | ||||||||
| LastUpdateDate: | 12/31/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/31/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | 01076005A | IN | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 2085R0001X | 235396-1 | NY | N | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
ID Information
| ID | Type | State | Issuer | Description | 201327810 | 05 | IN | MEDICAID |