Provider Demographics
NPI:1881007243
Name:MERCHANT, RISHAD
Entity Type:Individual
Prefix:
First Name:RISHAD
Middle Name:
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 METROCREST DR APT 181
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-5727
Mailing Address - Country:US
Mailing Address - Phone:214-460-8001
Mailing Address - Fax:
Practice Address - Street 1:1705 METROCREST DR APT 181
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-5727
Practice Address - Country:US
Practice Address - Phone:214-460-8001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29946122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist