Individual
SHARMILA PRAVIN MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3 BUTTERNUT DR, GREENVILLE, SC 29605-4655
(864) 241-7272
(864) 672-7852
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
30618
SC
207RX0202X
Medical Oncology Physician
Primary
30618
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447371281
—
SC
05
—
306181
—
SC
01
—
AA26554746
MEDICARE PIN
SC
Enumeration date
04/02/2007
Last updated
07/08/2021
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