Provider Demographics
NPI:1134913916
Name:JHAVERI, NEEL
Entity type:Individual
Prefix:
First Name:NEEL
Middle Name:
Last Name:JHAVERI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 KINGSWOOD LN
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5582
Mailing Address - Country:US
Mailing Address - Phone:817-789-7841
Mailing Address - Fax:
Practice Address - Street 1:UT SOUTHWESTERN MEDICAL SCHOOL 5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-5582
Practice Address - Country:US
Practice Address - Phone:214-648-2168
Practice Address - Fax:214-648-7517
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program