Provider Demographics
NPI:1245211655
Name:MEHTA, APURVA C (MD)
Entity Type:Individual
Prefix:
First Name:APURVA
Middle Name:C
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:P.O. BOX 636745
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6745
Mailing Address - Country:US
Mailing Address - Phone:513-451-4033
Mailing Address - Fax:513-451-4118
Practice Address - Street 1:5520 CHEVIOT ROAD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247
Practice Address - Country:US
Practice Address - Phone:513-451-4033
Practice Address - Fax:513-451-4033
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.081652207R00000X, 207RH0003X, 207RH0003X
KY37440207RH0003X, 207RH0003X
OH35-081652207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2694197Medicaid
IN200464300Medicaid
KY64083413Medicaid
KY0547821Medicare PIN
KYH98717Medicare UPIN
OH2694197Medicaid
4199073Medicare PIN
OH4199074Medicare PIN
OHH98717Medicare UPIN
H98717Medicare UPIN