Provider Demographics
NPI:1548422595
Name:SARAIYA, NEHALI VIRA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEHALI
Middle Name:VIRA
Last Name:SARAIYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:
Practice Address - Street 1:10512 PARK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8475
Practice Address - Country:US
Practice Address - Phone:704-295-3650
Practice Address - Fax:704-295-3666
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.125355207W00000X
NC2014-00098207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNC2036Medicaid
NC185C7OtherBCBSNC
NCP01512572OtherRAILROAD MEDICARE
967403OtherWELLCARE
2207133OtherWELLPATH
2207133OtherWELLPATH