Provider Demographics
NPI:1255767935
Name:RUPAREL, NIKITA BHARAT (MS, DDS, PHD)
Entity type:Individual
Prefix:
First Name:NIKITA
Middle Name:BHARAT
Last Name:RUPAREL
Suffix:
Gender:F
Credentials:MS, DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 CALEDONIAN CT
Mailing Address - Street 2:# 6301
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2894
Mailing Address - Country:US
Mailing Address - Phone:210-421-8098
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:DEPARTMENT OF ENDODONTICS
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-3396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX305521223E0200X
CA628291223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics