Provider Demographics
NPI:1922537166
Name:KESHWANI, NIKHAAR
Entity Type:Individual
Prefix:
First Name:NIKHAAR
Middle Name:
Last Name:KESHWANI
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 1:4514 MANITOU BAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2283
Mailing Address - Country:US
Mailing Address - Phone:210-956-3228
Mailing Address - Fax:
Practice Address - Street 1:135 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3807
Practice Address - Country:US
Practice Address - Phone:210-732-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-10
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33066122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist