Provider Demographics
NPI:1851373534
Name:MEHTON, NIRMAL SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRMAL
Middle Name:SINGH
Last Name:MEHTON
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:PO BOX 496084
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049-6084
Mailing Address - Country:US
Mailing Address - Phone:530-241-0473
Mailing Address - Fax:530-241-5377
Practice Address - Street 1:2830 EAST ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:CA
Practice Address - Zip Code:96007-3408
Practice Address - Country:US
Practice Address - Phone:530-365-2545
Practice Address - Fax:530-365-7349
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54327207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0092270Medicaid
CARHM53832HMedicaid
CABCP53832HMedicaid
CARHM53832HMedicaid
CA553832Medicare Oscar/Certification
CA00A543270Medicare PIN