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NPI Code Detail

MEDICARE: VINIT MEHROTRA MD

MEDICARE: VINIT MEHROTRA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianM3321TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205883774
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINIT MEHROTRA MD
Provider Business Mailing Address
First Line : 713 GRAINGER ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3261
Country : US
Telephone Number : 817-336-3968
Fax Number : 817-336-7817
Provider Business Practice Location Address
First Line : 713 GRAINGER ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3261
Country : US
Telephone Number : 817-336-3968
Fax Number : 817-336-7817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 12/02/2010

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