| Organization Name: | BHAVIN V. MEHTA, DPM, LLC |
| NPI Number: | 1255764981 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BHAVIN V. MEHTA (OWNER) |
| Mailing Address: | 5995 Spring St Warm Springs |
| State: | GA US |
| Postal Code: | 318302149 |
| Phone Number: | 7066559362 |
| Fax Number: | 7702513462 |
| NPI Enumeration Date: | 08/16/2013 |
| NPI Last Update Date: | 08/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |