Provider Demographics
NPI:1235310723
Name:NEHA MEDICAL CORPORATION INC.
Entity Type:Organization
Organization Name:NEHA MEDICAL CORPORATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GNYANDEV
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-232-2378
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90707-0189
Mailing Address - Country:US
Mailing Address - Phone:562-232-2378
Mailing Address - Fax:562-232-2379
Practice Address - Street 1:3300 E SOUTH ST
Practice Address - Street 2:206
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90805-4549
Practice Address - Country:US
Practice Address - Phone:562-232-2378
Practice Address - Fax:562-232-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA618690174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1609825579OtherRENDERING NPI
CA1376593657OtherRENDERING NPI
CA1376593657OtherRENDERING NPI
CAWA63658BMedicare PIN
CAWA61869EMedicare PIN