Individual
DR. DIVYESH MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7270
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2021-01161
NC
207P00000X
Emergency Medicine Physician
57.028743
OH
207R00000X
Internal Medicine Physician
2021-01161
NC
207R00000X
Internal Medicine Physician
35.137121
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2021-01161
NC
207RP1001X
Pulmonary Disease Physician
Primary
2021-01161
NC
208M00000X
Hospitalist Physician
2021-01161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972954352
—
NC
Enumeration date
06/27/2016
Last updated
01/23/2024
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