Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT188611 | PA |
N | 111NI0900X | Internist | MT188611 | PA |
N | 207RH0000X | Hematologist | A107002 | CA |
NPI | 1235293325 |
---|---|
Provider Name | Neil Jagdish Mehta |
First Address | San Francisco, CA 94117 |
Second Address | San Francisco, CA 94117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 24/10/2018 |