Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A104541 | CA |
NPI | 1770781791 |
---|---|
Provider Name | Dr. Umang Mehta |
First Address | Atherton, CA 94027-3811 |
Second Address | Atherton, CA 94027-3811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 18/03/2010 |