Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 272831-1 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 272831-1 | NY |
NPI | 1154680478 |
---|---|
Provider Name | Vishal A. Mehta |
First Address | Yonkers, NY 10701-1107 |
Second Address | Yonkers, NY 10701-1107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2012 |
Last Update Date | 14/08/2019 |