Provider Demographics
NPI:1316930365
Name:MEHTA, NEHA H (MD)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:H
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HENRY CLAY AVE. CHILDREN'S HOSPITAL
Mailing Address - Street 2:CARE CENTER
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118
Mailing Address - Country:US
Mailing Address - Phone:504-896-9237
Mailing Address - Fax:702-369-5827
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:CARE CENTER
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5720
Practice Address - Country:US
Practice Address - Phone:504-896-9237
Practice Address - Fax:504-896-9733
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2058442080C0008X
NV10538208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV37907Medicare ID - Type Unspecified
NVH04337Medicare UPIN