Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 1302 | OK |
NPI | 1285142513 |
---|---|
Provider Name | Dr. Sheena Mehta |
First Address | Norman, OK 73019-3142 |
Second Address | Norman, OK 73019-3142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2018 |
Last Update Date | 22/01/2018 |