Provider Demographics
NPI:1871511659
Name:MEHTA, RINKU VAKIL (MD)
Entity Type:Individual
Prefix:
First Name:RINKU
Middle Name:VAKIL
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RINKU
Other - Middle Name:
Other - Last Name:VAKIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8380 WARREN PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4198
Mailing Address - Country:US
Mailing Address - Phone:972-377-2625
Mailing Address - Fax:972-377-2667
Practice Address - Street 1:8380 WARREN PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4198
Practice Address - Country:US
Practice Address - Phone:972-377-2625
Practice Address - Fax:972-377-2667
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83902207VE0102X
TXM9505207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH92004Medicare UPIN