Individual
PARAS MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-9047
(704) 355-4002
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-9047
(704) 355-4002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
148705
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2009-01425
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174798847
—
NC
05
—
5921433
—
NC
05
—
NC1689
—
SC
Enumeration date
04/24/2008
Last updated
05/02/2014
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