Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 125182 | NY |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 1251892 | NY |
NPI | 1083653786 |
---|---|
Provider Name | Dr. Dinesh C Mehta |
First Address | Bronx, NY 10457-7626 |
Second Address | Bronx, NY 10457-7606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 10/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A63266 | (02) | NY |