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General NPI Number Information
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NPI Number | 1881792513
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Entity Type | Individual
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Provider Name | PAULETTE MEHTA MD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4301 W 7TH ST SLOT 111 K CAVHS
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone | 501-257-4542
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Fax | 501-257-4942
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Provider Business Mailing Address
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Address Line | 4301 W 7TH ST SLOT 111 K CAVHS
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone | 501-952-6545
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Fax | 501-257-4942
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | E2944
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License Number State | AR
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