Provider Demographics
NPI:1780615260
Name:CHHEDA, NIKETA (MD)
Entity type:Individual
Prefix:DR
First Name:NIKETA
Middle Name:
Last Name:CHHEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:THIRD FLOOR - BILLING SERVICES
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:440-974-4443
Mailing Address - Fax:440-974-4418
Practice Address - Street 1:7500 AUBURN RD STE 1200
Practice Address - Street 2:
Practice Address - City:CONCORD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44077-9612
Practice Address - Country:US
Practice Address - Phone:440-358-5400
Practice Address - Fax:440-358-5401
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36417207P00000X, 207Q00000X
OH35.090748207Q00000X
OH35-090748207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2776796Medicaid
OH4256943Medicare PIN