Provider Demographics
NPI:1437584091
Name:NEHA, FNU (MD)
Entity Type:Individual
Prefix:DR
First Name:FNU
Middle Name:
Last Name:NEHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4817 N CREEKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-5207
Mailing Address - Country:US
Mailing Address - Phone:773-402-8168
Mailing Address - Fax:
Practice Address - Street 1:1009 W SAINT MAARTENS DR STE F
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2990
Practice Address - Country:US
Practice Address - Phone:816-232-8145
Practice Address - Fax:816-279-1840
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023003573207RN0300X, 207R00000X
IL125.063673207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine