Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | A77567 | CA |
NPI | 1336280031 |
---|---|
Provider Name | Purvi Kothari Mehra |
First Address | San Diego, CA 92103-2209 |
Second Address | San Diego, CA 92103-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 19/02/2014 |