Individual
DR. NISHA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
630 1ST AVE, APARTMENT 11J, NEW YORK, NY 10016-3700
(401) 965-3052
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2012-00179
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2008
Last updated
03/25/2012
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