Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | MD041816 | DC |
NPI | 1710142021 |
---|---|
Provider Name | Archana P Mehta |
First Address | Annapolis, MD 21401-3727 |
Second Address | Annapolis, MD 21401-3727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 21/03/2021 |