Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 0101272384 | VA |
NPI | 1114363587 |
---|---|
Provider Name | Dr. Hetal H. Mehta |
First Address | Suffolk, VA 23435-3602 |
Second Address | Portsmouth, VA 23707-3236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 16/07/2021 |