Provider Demographics
NPI:1700865037
Name:MEHTA, SWATI A (MD)
Entity Type:Individual
Prefix:
First Name:SWATI
Middle Name:A
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SWATI
Other - Middle Name:A
Other - Last Name:MEHTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:161 ROSE LN
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1656
Mailing Address - Country:US
Mailing Address - Phone:718-245-3632
Mailing Address - Fax:718-245-3729
Practice Address - Street 1:KINGS COUNTY HOSPITAL CENTER - PEDIATICS DEPARTMENT
Practice Address - Street 2:451 CLARKSON AVE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-245-3660
Practice Address - Fax:718-245-3729
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163781208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics