Provider Demographics
NPI:1194968701
Name:SCHROEDER, NIKHILA DEO (MD, MENG)
Entity type:Individual
Prefix:DR
First Name:NIKHILA
Middle Name:DEO
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MD, MENG
Other - Prefix:
Other - First Name:NIKHILA
Other - Middle Name:
Other - Last Name:DEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MENG
Mailing Address - Street 1:300 EAST BLVD STE B4
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-4890
Mailing Address - Country:US
Mailing Address - Phone:704-750-0461
Mailing Address - Fax:516-403-9233
Practice Address - Street 1:300 EAST BLVD STE B4
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-4890
Practice Address - Country:US
Practice Address - Phone:704-750-0461
Practice Address - Fax:516-403-9233
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-02476207K00000X
WI62642-20207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology