Provider Demographics
NPI:1487607750
Name:MEHTA, NALINI (MD)
Entity type:Individual
Prefix:
First Name:NALINI
Middle Name:
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 1:2508 MYRTLE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2700
Mailing Address - Country:US
Mailing Address - Phone:814-452-5400
Mailing Address - Fax:
Practice Address - Street 1:2508 MYRTLE ST STE 100
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-2700
Practice Address - Country:US
Practice Address - Phone:814-452-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020206E2085R0001X, 2085R0202X, 2085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
20056104OtherAMERIHEALTH MERCY
PA5797072OtherAETNA PPO
197020OtherUNISON
0061885000OtherIBC
1526337OtherGATEWAY HEALTH PLAN
411434OtherHIGHMARK BLUE SHIELD
50064558OtherCBC
PA0014724360001Medicaid
PA2554996OtherCIGNA HMO/PPO
0061885000OtherIBC
PAP00403545Medicare PIN
PA5797072OtherAETNA PPO