Healthcare Provider Details

I. General information

NPI: 1528590239
Provider Name (Legal Business Name): NEHA MEHTA SYKES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NEHA MEHTA

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 SAINT ANTOINE ST 6F UHC
DETROIT MI
48201-2153
US

IV. Provider business mailing address

4201 SAINT ANTOINE ST 6F UHC
DETROIT MI
48201-2153
US

V. Phone/Fax

Practice location:
  • Phone: 734-330-0099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4351042155
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: