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NPI Code Detail

MEDICARE: NISHA SUTARIYA BHALALA

MEDICARE: NISHA SUTARIYA BHALALA
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
1363LF0000XFamily Nurse Practitioner5023537NC

General Provider Information

NPI Number : 1982566212
Entity Type Code : Individual
Provider Name (Legal Business Name) : NISHA SUTARIYA BHALALA
Provider Business Mailing Address
First Line : 9915 PARK CEDAR DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-8905
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 9915 PARK CEDAR DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-8905
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2025
Last Update Date : 12/09/2025

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Directions to “ NISHA SUTARIYA BHALALA ” Practice Location

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