Provider Demographics
NPI:1194112821
Name:URVAL, NIKITA KRISHNARAJ (MD)
Entity type:Individual
Prefix:
First Name:NIKITA
Middle Name:KRISHNARAJ
Last Name:URVAL
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:30 CLINTON ST APT 4J
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2780
Mailing Address - Country:US
Mailing Address - Phone:304-231-6038
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL WAY
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4670
Practice Address - Country:US
Practice Address - Phone:833-995-0117
Practice Address - Fax:724-282-0877
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT674442084N0400X
NY2978052084N0400X
PAMD4823802084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology