Provider Demographics
NPI:1689943383
Name:KANANI, NEHAL VALJIBHAI (RDH, BS)
Entity type:Individual
Prefix:
First Name:NEHAL
Middle Name:VALJIBHAI
Last Name:KANANI
Suffix:
Gender:F
Credentials:RDH, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9006 PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4315
Mailing Address - Country:US
Mailing Address - Phone:410-967-4872
Mailing Address - Fax:
Practice Address - Street 1:9006 PHILADELPHIA RD
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-4315
Practice Address - Country:US
Practice Address - Phone:410-967-4872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-26
Last Update Date:2011-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5900124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist