Provider Demographics
NPI:1669818514
Name:CHERIN, NEYHA GULATI (DO)
Entity Type:Individual
Prefix:
First Name:NEYHA
Middle Name:GULATI
Last Name:CHERIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NEYHA
Other - Middle Name:
Other - Last Name:GULATI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:MC A410
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-0858
Mailing Address - Country:US
Mailing Address - Phone:800-243-1455
Mailing Address - Fax:
Practice Address - Street 1:1135 OLD WEST CHOCOLATE AVENUE
Practice Address - Street 2:SUITE 101
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-7102
Practice Address - Country:US
Practice Address - Phone:717-531-7010
Practice Address - Fax:717-531-7102
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTO15265208100000X
PAOS018471208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033194260001Medicaid
PA583085OtherMEDICARE