Organization
MEHTA MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASUMATI V MEHTA M.D (PRESIDENT)
(910) 323-4091
Entity
Organization
Contact information
Practice address
518 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 323-4091
(910) 323-4092
Mailing address
PO BOX 87169, FAYETTEVILLE, NC 28304-7169
(910) 323-4091
(910) 323-4092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20167
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02145
BCBS GROUP
NC
01
—
0323
MEDICARE GROUP
NC
01
—
208795
MEDICARE INDIVIDUAL
NC
05
—
8958493
—
NC
Enumeration date
03/27/2008
Last updated
03/27/2008
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