Provider Demographics
NPI:1174751887
Name:GEHLOT, NIDHI (DMD)
Entity type:Individual
Prefix:DR
First Name:NIDHI
Middle Name:
Last Name:GEHLOT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:NIDHI
Other - Middle Name:
Other - Last Name:SOLANKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BDS
Mailing Address - Street 1:42 8TH ST
Mailing Address - Street 2:UNIT #3101
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-4207
Mailing Address - Country:US
Mailing Address - Phone:630-935-6820
Mailing Address - Fax:
Practice Address - Street 1:55 MERIDIAN STREET
Practice Address - Street 2:
Practice Address - City:EAST BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02128
Practice Address - Country:US
Practice Address - Phone:630-935-6820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18551601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice