Provider Demographics
NPI:1801912324
Name:BUDHANI, NADIA KARIM (DMD)
Entity type:Individual
Prefix:DR
First Name:NADIA
Middle Name:KARIM
Last Name:BUDHANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8017 N MACARTHUR BLVD
Mailing Address - Street 2:#3066
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-6135
Mailing Address - Country:US
Mailing Address - Phone:617-823-0823
Mailing Address - Fax:
Practice Address - Street 1:3213 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-8800
Practice Address - Country:US
Practice Address - Phone:972-659-0121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA217411223G0001X
TX238041223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice