Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT23659 | MD |
NPI | 1356441117 |
---|---|
Provider Name | Dr. Aashima Mehta |
First Address | North Potomac, MD 20878-2530 |
Second Address | Bethesda, MD 20817-2801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 27/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q50399 | (02) | GA |