| Doctor Name: | KHUSHBOO MEHTA |
| NPI Number: | 1407909567 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ML20008589 |
| Business Practice Address: | 200 15th Ave E Seattle, WA - 981125260 |
| Business Phone Number: | 2063263580 |
| Business Fax Number: | |
| Mailing Address: | Po Box 34584, SEATTLE |
| State: | WA |
| Postal Code: | 981241584 |
| Phone Number: | 5092417349 |
| Fax Number: | 5092417628 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 01/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ML20008589 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |