MEDICARE: NAVNIT R MEHTA 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
1	207Q00000X	Family Medicine Physician	F4956	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1629064373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVNIT R MEHTA MD

Provider Business Mailing Address
First Line	:	8901 FM 1960 BYPASS RD W
Second Line	:	101
City	:	HUMBLE
State	:	TX
Zip	:	77338-4018
Country	:	US
Telephone Number	:	281-446-7173
Fax Number	:	281-446-3841

Provider Business Practice Location Address
First Line	:	8901 FM 1960 BYPASS RD W
Second Line	:	101
City	:	HUMBLE
State	:	TX
Zip	:	77338-4255
Country	:	US
Telephone Number	:	281-446-7173
Fax Number	:	281-446-3841

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	01/25/2011

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