Individual
DR. ASHIMA D MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 W NORTH AVE, SUITE105, MELROSE PARK, IL 60160-1634
(708) 450-4540
(708) 450-5760
Mailing address
PO BOX 82428, AUSTIN, TX 78708-2428
(512) 583-0205
(512) 583-2001
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211479
MEDICARE PIN - COOK CO.
IL
01
—
211482
MEDICARE PIN - LAKE CO.
IL
Enumeration date
11/07/2005
Last updated
01/09/2008
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