Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD31391 | AL |
NPI | 1003122573 |
---|---|
Provider Name | Amitkumar Mehta |
First Address | Birmingham, AL 35294-3528 |
Second Address | Birmingham, AL 35294-3528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2010 |
Last Update Date | 09/11/2015 |