MEDICARE: NEHA H MEHTA M.D.

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
1	2080C0008X	Child Abuse Pediatrics Physician	205844	LA

General Provider Information

NPI Number	:	1316930365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA H MEHTA M.D.

Provider Business Mailing Address
First Line	:	200 HENRY CLAY AVE. CHILDREN'S HOSPITAL
Second Line	:	CARE CENTER
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118
Country	:	US
Telephone Number	:	504-896-9237
Fax Number	:	702-369-5827

Provider Business Practice Location Address
First Line	:	200 HENRY CLAY AVE
Second Line	:	CARE CENTER
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5720
Country	:	US
Telephone Number	:	504-896-9237
Fax Number	:	504-896-9733

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	03/11/2014

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