Individual
AMI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 451-6266
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
0101260537
VA
Other
Enumeration date
03/30/2013
Last updated
02/18/2019
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