Provider Demographics
NPI:1558534784
Name:NAVIN C. MEHTA, MD., PC.
Entity Type:Organization
Organization Name:NAVIN C. MEHTA, MD., PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAVIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-505-9640
Mailing Address - Street 1:303 SECOND AVENUE
Mailing Address - Street 2:SUITE # 10
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2746
Mailing Address - Country:US
Mailing Address - Phone:212-505-9640
Mailing Address - Fax:212-473-1355
Practice Address - Street 1:303 SECOND AVENUE
Practice Address - Street 2:SUITE # 10
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2746
Practice Address - Country:US
Practice Address - Phone:212-505-9640
Practice Address - Fax:212-473-1355
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAVIN C. MEHTA, MD., PC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-09
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY156499207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty