Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 258854 | NY |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 51991 | CT |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 51991 | CT |
NPI | 1841458957 |
---|---|
Provider Name | Dr. Saral Mehra |
First Address | New Haven, CT 06520-8041 |
Second Address | New Haven, CT 06510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2008 |
Last Update Date | 15/07/2013 |