Provider Demographics
NPI:1649320409
Name:MEHTA, ZARNA M (MD)
Entity type:Individual
Prefix:
First Name:ZARNA
Middle Name:M
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 S SADDLE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-5472
Mailing Address - Country:US
Mailing Address - Phone:325-692-5258
Mailing Address - Fax:
Practice Address - Street 1:1680 ANTILLEY RD
Practice Address - Street 2:SUITE 370
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5267
Practice Address - Country:US
Practice Address - Phone:325-695-2552
Practice Address - Fax:325-690-0622
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2468207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5506506Medicaid
IL5506506Medicaid
ILE76783Medicare UPIN