Healthcare Provider Details

I. General information

NPI: 1396372421
Provider Name (Legal Business Name): AAYUSHI MEHTA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 MAIN ST STE 21
WEYMOUTH MA
02190-1615
US

IV. Provider business mailing address

851 MAIN ST STE 21
WEYMOUTH MA
02190-1615
US

V. Phone/Fax

Practice location:
  • Phone: 781-331-1060
  • Fax: 781-335-9852
Mailing address:
  • Phone: 781-331-1060
  • Fax: 781-335-9852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number1024509
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: