Provider Demographics
NPI:1053971952
Name:KHANPARA, NIRALI (DDS)
Entity type:Individual
Prefix:DR
First Name:NIRALI
Middle Name:
Last Name:KHANPARA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7502 PARKWOOD CT APT 302
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-7502
Mailing Address - Country:US
Mailing Address - Phone:617-470-8970
Mailing Address - Fax:
Practice Address - Street 1:7502 PARKWOOD CT APT 302
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-7502
Practice Address - Country:US
Practice Address - Phone:617-470-8970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16885122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist