Provider Demographics
NPI:1225008014
Name:MEHTA, RAGINI BALKRISHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAGINI
Middle Name:BALKRISHNA
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9259 CHEVOIT DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-6137
Mailing Address - Country:US
Mailing Address - Phone:615-377-6687
Mailing Address - Fax:
Practice Address - Street 1:9259 CHEVOIT DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-6137
Practice Address - Country:US
Practice Address - Phone:615-584-5787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26502207L00000X
PAMD429765207L00000X
NC201300390207L00000X
AL19021207L00000X
MO2006008755207L00000X
KY33686207L00000X
ARE1655207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000001071758OtherANTHEM PROVIDER NUMBER
IN815500189Medicare PIN
IN000001071758OtherANTHEM PROVIDER NUMBER