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NPI Code Detail

MEDICARE: NIKIT CHALISE

MEDICARE: NIKIT CHALISE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1275478836
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKIT CHALISE
Provider Business Mailing Address
First Line : 6712 PHILLIPS RD
Second Line :
City : SCHERERVILLE
State : IN
Zip : 46375-5368
Country : US
Telephone Number : 281-729-3800
Fax Number :
Provider Business Practice Location Address
First Line : 1700 E SAUNDERS ST
Second Line :
City : LAREDO
State : TX
Zip : 78041-5474
Country : US
Telephone Number : 956-796-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ NIKIT CHALISE ” Practice Location

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