Provider Demographics
NPI:1164725214
Name:NEHA RESHAMWALA MD PA
Entity Type:Organization
Organization Name:NEHA RESHAMWALA MD PA
Other - Org Name:FRONTIER ALLERGY ASTHMA AND IMMUNOLOGY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RESHAMWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-382-1933
Mailing Address - Street 1:2217 PARK BEND DR STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5674
Mailing Address - Country:US
Mailing Address - Phone:512-382-1933
Mailing Address - Fax:844-880-6124
Practice Address - Street 1:2217 PARK BEND DR STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5674
Practice Address - Country:US
Practice Address - Phone:512-382-1933
Practice Address - Fax:844-880-6124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1164725214OtherTYPE 2 NPI