Provider Demographics
NPI:1386918605
Name:VEKARIYA, NARESHKUMAR MANSUKHBHAI (RPT)
Entity type:Individual
Prefix:
First Name:NARESHKUMAR
Middle Name:MANSUKHBHAI
Last Name:VEKARIYA
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1291 OLIVER ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4450
Mailing Address - Country:US
Mailing Address - Phone:910-502-0987
Mailing Address - Fax:910-502-9876
Practice Address - Street 1:1291 OLIVER ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4450
Practice Address - Country:US
Practice Address - Phone:910-502-0987
Practice Address - Fax:910-502-9876
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13546225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501015855OtherSTATE OF MI