Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | MD437253 | PA |
NPI | 1083808406 |
---|---|
Provider Name | Yatin Mehta |
First Address | Danville, PA 17822-9800 |
Second Address | Danville, PA 17822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2007 |
Last Update Date | 05/08/2020 |