Healthcare Provider Details

I. General information

NPI: 1700105392
Provider Name (Legal Business Name): DR. PRITI MEHLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2010
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N DIXIE HWY STE 104B
WEST PALM BEACH FL
33401-2712
US

IV. Provider business mailing address

3345 BURNS RD STE 105
PALM BEACH GARDENS FL
33410-4304
US

V. Phone/Fax

Practice location:
  • Phone: 561-790-8629
  • Fax: 561-721-8605
Mailing address:
  • Phone: 561-626-1881
  • Fax: 561-721-8605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME174560
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME174560
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: