Provider Demographics
NPI:1053396887
Name:SATIANI, NIDHI GUPTA (OD)
Entity type:Individual
Prefix:DR
First Name:NIDHI
Middle Name:GUPTA
Last Name:SATIANI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:NIDHI
Other - Middle Name:S
Other - Last Name:GUPTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2357 HETTER ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9017
Mailing Address - Country:US
Mailing Address - Phone:614-487-1266
Mailing Address - Fax:614-247-8627
Practice Address - Street 1:320 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1280
Practice Address - Country:US
Practice Address - Phone:614-292-5859
Practice Address - Fax:614-247-8627
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5552152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management