Provider Demographics
NPI:1518282029
Name:PAPAGARI, NIDHI CHINMAI
Entity Type:Individual
Prefix:
First Name:NIDHI
Middle Name:CHINMAI
Last Name:PAPAGARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9009 APPALOOSA CT
Mailing Address - Street 2:
Mailing Address - City:ALTA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-1457
Mailing Address - Country:US
Mailing Address - Phone:909-267-5978
Mailing Address - Fax:
Practice Address - Street 1:9009 APPALOOSA CT
Practice Address - Street 2:
Practice Address - City:ALTA LOMA
Practice Address - State:CA
Practice Address - Zip Code:91737-1457
Practice Address - Country:US
Practice Address - Phone:909-267-5978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36425225100000X
MI5501013181225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist