Provider Demographics
NPI:1588340582
Name:MEKA, NIKHIL
Entity type:Individual
Prefix:
First Name:NIKHIL
Middle Name:
Last Name:MEKA
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 1:38 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-3000
Mailing Address - Country:US
Mailing Address - Phone:603-537-6274
Mailing Address - Fax:
Practice Address - Street 1:38 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-3000
Practice Address - Country:US
Practice Address - Phone:603-537-6274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH051041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice