Provider Demographics
NPI:1669799276
Name:KASHIKAR, NILESH DIGVIJAY (MD PHD)
Entity type:Individual
Prefix:DR
First Name:NILESH
Middle Name:DIGVIJAY
Last Name:KASHIKAR
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11025 RCA CENTER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4269
Mailing Address - Country:US
Mailing Address - Phone:336-387-2566
Mailing Address - Fax:844-751-9263
Practice Address - Street 1:706 GREEN VALLEY RD STE 104
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7043
Practice Address - Country:US
Practice Address - Phone:336-387-2500
Practice Address - Fax:336-387-2501
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2018-02835207ZP0101X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program