Provider Demographics
NPI:1467769281
Name:DADA, NEHA (OD)
Entity type:Individual
Prefix:DR
First Name:NEHA
Middle Name:
Last Name:DADA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5124 OLD CHARLOTTE HWY STE G
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-7790
Mailing Address - Country:US
Mailing Address - Phone:980-981-4868
Mailing Address - Fax:980-981-4878
Practice Address - Street 1:5124 OLD CHARLOTTE HWY STE G
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-7790
Practice Address - Country:US
Practice Address - Phone:980-981-4868
Practice Address - Fax:980-981-4878
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007669152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist