Provider Demographics
NPI:1730520222
Name:KARANJKAR, NEHA
Entity type:Individual
Prefix:DR
First Name:NEHA
Middle Name:
Last Name:KARANJKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 EMERALD DOVE AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6163
Mailing Address - Country:US
Mailing Address - Phone:979-330-1070
Mailing Address - Fax:
Practice Address - Street 1:4400 STATE HIGHWAY 6 S
Practice Address - Street 2:SUITE # 300
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-4427
Practice Address - Country:US
Practice Address - Phone:979-330-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX291691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice