Provider Demographics
NPI:1265590525
Name:HINGARH, NILESH (MD)
Entity type:Individual
Prefix:
First Name:NILESH
Middle Name:
Last Name:HINGARH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 803335
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91380-3335
Mailing Address - Country:US
Mailing Address - Phone:661-414-7677
Mailing Address - Fax:661-310-1686
Practice Address - Street 1:43845 10TH ST W
Practice Address - Street 2:2A
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4800
Practice Address - Country:US
Practice Address - Phone:661-414-7677
Practice Address - Fax:661-310-1686
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA80963207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease