Individual
MS. NICKY MEHTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A160766
CA
390200000X
Student in an Organized Health Care Education/Training Program
D9089997
CA
Other
Enumeration date
02/12/2013
Last updated
09/19/2019
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