Provider Demographics
NPI:1598652281
Name:MUNGALPARA, NIRAV KUMAR KALUBHAI
Entity type:Individual
Prefix:
First Name:NIRAV KUMAR
Middle Name:KALUBHAI
Last Name:MUNGALPARA
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15, SUROHI PARK 1, B/H SHYAM FARM, NIKOL - NARODA ROAD,
Mailing Address - Street 2:
Mailing Address - City:AHMEDABAD
Mailing Address - State:GUJARAT
Mailing Address - Zip Code:382350
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:835, S WOLCOTT AVE, ROOM NO E190
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:908-812-5164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program