Provider Demographics
NPI:1639317837
Name:NAINANI, NEHA (MD, MPH)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:
Last Name:NAINANI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 E MARCH LN STE B265
Mailing Address - Street 2:SUITE B265
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-6655
Mailing Address - Country:US
Mailing Address - Phone:209-546-1868
Mailing Address - Fax:
Practice Address - Street 1:1801 E MARCH LN STE B265
Practice Address - Street 2:SUITE B265
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-6655
Practice Address - Country:US
Practice Address - Phone:209-546-1868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003899207RN0300X
CAA119121207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology