Provider Demographics
NPI:1225100993
Name:MEHTA, SHOBHA N (MD)
Entity Type:Individual
Prefix:DR
First Name:SHOBHA
Middle Name:N
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5021 SEMINARY RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311
Mailing Address - Country:US
Mailing Address - Phone:703-845-1666
Mailing Address - Fax:703-379-8450
Practice Address - Street 1:5021 SEMINARY RD
Practice Address - Street 2:SUITE 106
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311
Practice Address - Country:US
Practice Address - Phone:703-845-1666
Practice Address - Fax:703-379-8450
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101041317207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology