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Individual

DR. NISHA DEOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3276
(937) 723-3277
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 558-0200
(937) 558-0158

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35133173
OH
208M00000X
Hospitalist Physician
Primary
35133173
OH
208M00000X
Hospitalist Physician
DR.0061781
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000170426
CO
Enumeration date
07/10/2015
Last updated
03/19/2026
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