Individual
NALINI K MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2220 LEMP AVE, SOULARD BENTON HEALTH CENTER, SAINT LOUIS, MO 63104-2700
(314) 814-8531
(314) 814-8542
Mailing address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8531
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R3G84
MO
208000000X
Pediatrics Physician
Primary
R3G84
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208481119
—
MO
Enumeration date
05/24/2006
Last updated
08/27/2016
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