Provider Demographics
NPI:1669704748
Name:MEHTA, MUNIRA YUSUF (MD)
Entity type:Individual
Prefix:
First Name:MUNIRA
Middle Name:YUSUF
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 1:835 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-1028
Mailing Address - Country:US
Mailing Address - Phone:856-693-4136
Mailing Address - Fax:
Practice Address - Street 1:ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL,
Practice Address - Street 2:1 HAMILTON HEALTH PLACE
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-586-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08795000207R00000X, 207RC0200X
PAMD449011207RC0200X
DEC1-0010703207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine