Individual
USHA J MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,F.A.C.O.G.
Contact information
Practice address
7600 AIRWAYS BLVD, SUITE A, SOUTHAVEN, MS 38671-0749
(662) 349-1000
(662) 349-8805
Mailing address
7600 AIRWAYS BLVD SUITE A, P.O.BOX 749, SOUTHAVEN, MS 38671-0749
(662) 349-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10859
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017888
—
MS
Enumeration date
07/09/2006
Last updated
07/09/2007
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