Provider Demographics
NPI:1346212164
Name:GHAEL, NEHA (DO)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:
Last Name:GHAEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:11910 GREENVILLE AVE
Mailing Address - Street 2:#500
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3596
Mailing Address - Country:US
Mailing Address - Phone:214-572-1124
Mailing Address - Fax:214-572-7724
Practice Address - Street 1:1280 N TOWN EAST BLVD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4606
Practice Address - Country:US
Practice Address - Phone:972-686-1880
Practice Address - Fax:972-686-5845
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL6907207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI00013Medicare UPIN
TX8C9581Medicare ID - Type Unspecified