Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 23892 | NE |
NPI | 1225106255 |
---|---|
Provider Name | Dr. Vinay Mehta |
First Address | Lincoln, NE 68505-2343 |
Second Address | Lincoln, NE 68505-2343 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 17/12/2008 |