Provider Demographics
NPI:1073842852
Name:MEHTA, AKSHAY (MD)
Entity Type:Individual
Prefix:DR
First Name:AKSHAY
Middle Name:
Last Name:MEHTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 TORRANCE BLVD 109
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4421
Mailing Address - Country:US
Mailing Address - Phone:310-406-3900
Mailing Address - Fax:310-406-3902
Practice Address - Street 1:4305 TORRANCE BLVD 109
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4421
Practice Address - Country:US
Practice Address - Phone:310-406-3900
Practice Address - Fax:310-406-3902
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
286500000X
CAA113544207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No286500000XHospitalsMilitary Hospital
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine