Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35134415 | OH |
Y | 208600000X | Surgeon | 35134415 | OH |
N | 208200000X | Surgeon | 8415687-1205 | UT |
N | 208600000X | Surgeon | 8415687-1205 | UT |
N | 2086S0122X | Plastic and Reconstructive Surgery | 8415687-1205 | UT |
NPI | 1225327224 |
---|---|
Provider Name | Dr. Sagar Tushar Mehta |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45219-2364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2011 |
Last Update Date | 14/08/2018 |