Individual
MANISHA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36. 003467
OH
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5901002275
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316191679
—
MI
05
—
1417136029
—
MI
01
—
1891939682
DME SUPPLIER NUMBER
MI
Enumeration date
10/31/2007
Last updated
08/11/2023
Update your record
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