Provider Demographics
NPI:1851268916
Name:NAIDU, ABHITHA KAMATHAM (PHARMD)
Entity type:Individual
Prefix:
First Name:ABHITHA
Middle Name:KAMATHAM
Last Name:NAIDU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2379 KING ARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5736
Mailing Address - Country:US
Mailing Address - Phone:469-644-7258
Mailing Address - Fax:
Practice Address - Street 1:2379 KING ARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-5736
Practice Address - Country:US
Practice Address - Phone:469-644-7258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76402183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty