Individual
NIDHI KACHOLIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1845 PRECINCT LINE RD STE 209, SECOND FLOOR, HURST, TX 76054-3109
(817) 336-4638
(817) 336-7637
Mailing address
1845 PRECINCT LINE RD STE 209, SECOND FLOOR, HURST, TX 76054-3109
(817) 336-4638
(817) 336-7637
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
L-231724
MA
2085R0202X
Diagnostic Radiology Physician
Primary
N7931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301863201
—
TX
01
—
P01070266
RR MEDICARE
TX
Enumeration date
10/30/2008
Last updated
08/18/2016
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