Individual
DR. NIYATI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A114339
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
257272
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
73746
WI
Other
Enumeration date
11/23/2010
Last updated
09/27/2022
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