# MEHTA MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730351073
- **Authorized official:** DR. HASUMATI V MEHTA M.D (PRESIDENT)
- **Authorized official phone:** (910) 323-4091

## Contact information

- **Practice address:** 518 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
- **Practice address phone:** (910) 323-4091
- **Practice address fax:** (910) 323-4092
- **Mailing address:** PO BOX 87169, FAYETTEVILLE, NC 28304-7169
- **Mailing address phone:** (910) 323-4091
- **Mailing address fax:** (910) 323-4092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20167 | NC | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02145 | BCBS GROUP | NC |
| 01 | — | 0323 | MEDICARE GROUP | NC |
| 01 | — | 208795 | MEDICARE INDIVIDUAL | NC |
| 05 | — | 8958493 | — | NC |