Individual
PRAFUL CHANDULAL MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
459 N WENDOVER RD, CHARLOTTE, NC 28211-1064
(704) 364-9171
Mailing address
459 N WENDOVER RD, MALTI AND P MEHTA PA, CHARLOTTE, NC 28211
(704) 364-9171
(704) 364-0176
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23413
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8958291
—
NC
Enumeration date
03/23/2007
Last updated
09/01/2022
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