Individual
CRYSTAL SHIRISH MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1522 W MORRIS ST, INDIANAPOLIS, IN 46221-1629
(317) 957-2500
(317) 957-2520
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
(317) 957-2050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02004602A
IN
2084P0800X
Psychiatry Physician
LL1562
SC
Other
Enumeration date
07/11/2012
Last updated
07/21/2022
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