Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204E00000X | Oral & Maxillofacial Surgeon | DN18079 | FL |
Y | 204E00000X | Oral & Maxillofacial Surgeon | ME118723 | FL |
NPI | 1437380359 |
---|---|
Provider Name | Dr. Uday Mehta |
First Address | New Port Richey, FL 34652-1928 |
Second Address | New Port Richey, FL 34652-1928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2009 |
Last Update Date | 05/03/2020 |