Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | ME0055612 | FL |
NPI | 1427089309 |
---|---|
Provider Name | Dr. Vikram P Mehta |
First Address | Lake Mary, FL 32746 |
Second Address | Lake Mary, FL 32746 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 11/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E15509 | (02) |