Individual
KAUSHAL J MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
8440 W LAKE MEAD BLVD STE 111, LAS VEGAS, NV 89128-7648
(616) 606-3482
Mailing address
8440 W LAKE MEAD BLVD STE 111, LAS VEGAS, NV 89128-7648
(616) 606-3482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
274868
NC
363LF0000X
Family Nurse Practitioner
Primary
274868
NC
363LF0000X
Family Nurse Practitioner
APRN002569
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962895854
—
NC
Enumeration date
03/16/2015
Last updated
03/20/2023
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