Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 2017-02476 | NC |
N | 207K00000X | Allergist & Immunologist | 62642-20 | WI |
NPI | 1194968701 |
---|---|
Provider Name | Dr. Nikhila Deo Schroeder |
First Address | Charlotte, NC 28203-4890 |
Second Address | Charlotte, NC 28203-4890 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 14/05/2019 |