Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 244036 | MA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD12698 | RI |
NPI | 1043343429 |
---|---|
Provider Name | Anjali R. Mehta |
First Address | Worcester, MA 01608-1216 |
Second Address | Worcester, MA 01608-1216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 29/04/2015 |