MEGA MANINDER DEOL


Address: 19734 Shadowbrook Way, Riverside, CA 92508-6809
Phone: 9517570664

MEGA MANINDER DEOL (NPI# 1083249866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083249866
Entity Type Individual
Full Name MEGA MANINDER DEOL
Credential NP
Practice Address 19734 Shadowbrook Way
Riverside
CA 92508-6809
Practice Telephone 9517570664
Mailing Telephone 9517570664
Enumeration Date 2020-03-11
Last Update Date 2020-03-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95014127 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 19734 SHADOWBROOK WAY
City RIVERSIDE
State CA
Zip Code 92508-6809

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1952605248 Dennis Graves Counselor 17270 Roosevelt Ave, Riverside, CA 92508 2011-01-01
1811207632 Bekele T Haimanot Physician Assistant 9528 Los Coches Court, Riverside, CA 92508 2010-10-14
1518144625 Irene T. Zaki Dentist 20873 Grove Community Dr., Riverside, CA 92508 2008-01-31
1093902447 Edward Keith Forward Specialist 18167 Kross Rd, Riverside, CA 92508 2007-10-01
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073071684 Racheal Ego Aneke Nurse Practitioner 9890 County Farm Rd., Building 2, Riverside, CA 92503 2019-03-04
1356819908 Kellie Ferrie Nurse Practitioner 250 Wampanoag Trl Ste 302, Riverside, RI 02915-2217 2018-11-12
1861944969 Innovative Therapeutics of Rhode Island LLC Nurse Practitioner 316 Willett Ave, Riverside, RI 02915-2511 2016-10-25
1265807762 Lisa Debrier Nurse Practitioner 2933 University Avenue, Riverside, CA 92507-4243 2015-12-09
1881978682 Sukh Dev Singh Khalsa Nurse Practitioner 5887 Brockton Ave Ste A, Riverside, CA 92506-1858 2011-09-28
1396345245 Oluwatoyin Oladimeji Nurse Practitioner 9990 County Farm Rd, Riverside, CA 92503-3542 2020-10-29
1982210977 Rachel Weitz Nurse Practitioner 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 2020-09-16
1265052047 Quiana Latoya Cooper Nurse Practitioner 6529 Riverside Ave Ste 133, Riverside, CA 92506-3123 2020-04-21
1184270381 Jessica Nicole Rodello Nurse Practitioner 5887 Brockton Ave, Riverside, CA 92506-1853 2019-08-13
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Competitor

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City RIVERSIDE
Zip Code 92508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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