Individual
ASHOK V MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2312 KNOB CREEK RD, STE 208, JOHNSON CITY, TN 37604-2367
(423) 610-1099
(423) 610-1166
Mailing address
PO BOX 3953, JOHNSON CITY, TN 37602-3953
(423) 915-1126
(423) 915-0635
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD017615
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023510
—
TN
Enumeration date
04/03/2006
Last updated
04/06/2012
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