Provider Demographics
NPI:1932685559
Name:CHAUHAN, NIRALI (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NIRALI
Middle Name:
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:NIRALI
Other - Middle Name:
Other - Last Name:MANDALAYWALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12880 HILLCREST RD STE 102
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1501
Mailing Address - Country:US
Mailing Address - Phone:972-387-1100
Mailing Address - Fax:
Practice Address - Street 1:12880 HILLCREST RD STE 102
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1501
Practice Address - Country:US
Practice Address - Phone:214-709-4003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113234235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist