Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD2014-0135 | NM |
N | 111NI0900X | Internist | MD2014-0135 | NM |
Y | 207RC0200X | Critical Care Medicine | Q5490 | TX |
N | 207RP1001X | Pulmonary Disease | Q5490 | TX |
NPI | 1063839405 |
---|---|
Provider Name | Nishith Mahendrabhai Mewada |
First Address | Dallas, TX 75246 |
Second Address | Dallas, TX 75246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 28/08/2021 |