Provider Demographics
NPI:1659451581
Name:MEHTA, KANUBHAI PARAGJI (MD)
Entity Type:Individual
Prefix:DR
First Name:KANUBHAI
Middle Name:PARAGJI
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 1:1631 NORTH LOOP W
Mailing Address - Street 2:#460
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1500
Mailing Address - Country:US
Mailing Address - Phone:713-461-3120
Mailing Address - Fax:713-864-1755
Practice Address - Street 1:1631 NORTH LOOP W STE 460
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1548
Practice Address - Country:US
Practice Address - Phone:713-461-3120
Practice Address - Fax:713-864-1755
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2053207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD66971Medicare UPIN
TX00R294Medicare ID - Type Unspecified