Doctor Name: | BRINDA MUKESH MEHTA |
NPI Number: | 1205195849 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | BP10039198 |
Business Practice Address: | 40 Sunshine Cottage Rd Skyline Drive, Room Number 1n-j08 Valhalla, NY - 105951524 |
Business Phone Number: | 3618779383 |
Business Fax Number: | |
Mailing Address: | 40 Sunshine Cottage Rd, Skyline Drive, Room Number 1n-j08 VALHALLA |
State: | NY |
Postal Code: | 105951524 |
Phone Number: | 3618779383 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2012 |
NPI Last Update Date: | 09/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | BP10039198 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |