Organization
USHA J. MEHTA M.D., P.A.
Active
Other names
DESOTO OB-GYN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAGDISH A MEHTA (VICE PRESIDENT)
(662) 349-1000
Entity
Organization
Contact information
Practice address
7600 AIRWAYS BLVD, SUITE A, SOUTHAVEN, MS 38671-5138
(662) 349-1000
(662) 349-8805
Mailing address
7600 AIRWAYS BLVD STE A, P.O.BOX 749, SOUTHAVEN, MS 38671-5138
(662) 349-1000
(662) 349-8805
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017888
—
MS
Enumeration date
11/21/2014
Last updated
11/21/2014
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