Individual
DIPALI SANDIP MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1781 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3862
(910) 609-6440
Mailing address
100 TECHNOLOGY DR, SUITE A, ASHEVILLE, NC 28803-5008
(828) 771-5222
(828) 771-5253
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
100000163
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000-00163
NORTH CAROLINA ANESTHESIOLOGIST ASSISTANT LICENSE
NC
Enumeration date
06/09/2008
Last updated
06/09/2008
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