Provider Demographics
NPI:1376755603
Name:BAROT, NISHIDH (MD)
Entity Type:Individual
Prefix:
First Name:NISHIDH
Middle Name:
Last Name:BAROT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 KINGSBOROUGH SQ
Mailing Address - Street 2:SUITE E
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4944
Mailing Address - Country:US
Mailing Address - Phone:757-410-2804
Mailing Address - Fax:757-410-2824
Practice Address - Street 1:637 KINGSBOROUGH SQ
Practice Address - Street 2:SUITE E
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4944
Practice Address - Country:US
Practice Address - Phone:757-410-2804
Practice Address - Fax:757-410-2824
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012449252084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology