Individual
SHOBHA H MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1025 MOREHEAD MEDICAL PLAZA, 5TH FLOOR, SUITE 500, CHARLOTTE, NC 28204-2968
(704) 355-3149
(704) 355-5891
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-3149
(704) 355-5891
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301074752
MI
207VM0101X
Maternal & Fetal Medicine Physician
0101273218
VA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2014-02192
NC
207VM0101X
Maternal & Fetal Medicine Physician
4301074752
MI
207VM0101X
Maternal & Fetal Medicine Physician
MD457036
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215982020
—
NC
05
—
492502510
—
MI
01
—
700H262210
BLUE CROSS-BLUE CROSS
—
05
—
NC2266
—
SC
01
—
SM074752
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
05/23/2006
Last updated
09/30/2022
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