Provider Demographics
NPI:1114418258
Name:ALLERGENUITY HEALTH ASSOCIATES PLLC
Entity Type:Organization
Organization Name:ALLERGENUITY HEALTH ASSOCIATES PLLC
Other - Org Name:ALLERGENUITY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER, ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKHILA
Authorized Official - Middle Name:DEO
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MENG
Authorized Official - Phone:434-960-6258
Mailing Address - Street 1:300 EAST BLVD STE B4
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-4890
Mailing Address - Country:US
Mailing Address - Phone:704-750-0461
Mailing Address - Fax:516-403-9233
Practice Address - Street 1:300 EAST BLVD STE B4
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-4890
Practice Address - Country:US
Practice Address - Phone:704-750-0461
Practice Address - Fax:516-403-9233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-24
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty