Provider Demographics
NPI:1629064373
Name:MEHTA, NAVNIT R (MD)
Entity Type:Individual
Prefix:
First Name:NAVNIT
Middle Name:R
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 1:8901 FM 1960 BYPASS RD W
Mailing Address - Street 2:101
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4018
Mailing Address - Country:US
Mailing Address - Phone:281-446-7173
Mailing Address - Fax:281-446-3841
Practice Address - Street 1:8901 FM 1960 BYPASS RD W
Practice Address - Street 2:101
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4255
Practice Address - Country:US
Practice Address - Phone:281-446-7173
Practice Address - Fax:281-446-3841
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4956207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111782201Medicaid
C07406Medicare UPIN
TX111782201Medicaid