Provider Demographics
NPI:1801469911
Name:NEMEH, GHAITH RANI
Entity type:Individual
Prefix:
First Name:GHAITH
Middle Name:RANI
Last Name:NEMEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-7135
Mailing Address - Country:US
Mailing Address - Phone:484-744-0063
Mailing Address - Fax:
Practice Address - Street 1:1634 MACARTHUR RD STE 2
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-5730
Practice Address - Country:US
Practice Address - Phone:610-433-3361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS043288122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist