Provider Demographics
NPI:1417477829
Name:NAUTIYAL, MEGHNA CHOWDHARY (PT)
Entity Type:Individual
Prefix:
First Name:MEGHNA
Middle Name:CHOWDHARY
Last Name:NAUTIYAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MEGHNA
Other - Middle Name:HIRALAL
Other - Last Name:CHOWDHARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1333 N BUFFALO DR UNIT 170
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-3637
Mailing Address - Country:US
Mailing Address - Phone:702-564-6712
Mailing Address - Fax:702-564-4838
Practice Address - Street 1:4475 S EASTERN AVE STE 2100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-7826
Practice Address - Country:US
Practice Address - Phone:702-637-0535
Practice Address - Fax:702-564-4838
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4511225100000X
MD26367225100000X
MI5501018143225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist