Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 27910 | AL |
NPI | 1003029869 |
---|---|
Provider Name | Neeraj Mehta |
First Address | Alabaster, AL 35007-8740 |
Second Address | Alabaster, AL 35007-8740 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 10/03/2011 |