Basic Information
| Provider Information | |||||||||
| NPI: | 1306901350 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MEHTA-LEE | ||||||||
| FirstName: | SHILPI | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 535 DEAN ST | ||||||||
| Address2: | APT 202 | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112172172 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9177550353 | ||||||||
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| Practice Location | |||||||||
| Address1: | 150 E 32ND ST | ||||||||
| Address2: | FIRST FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100166058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122637021 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2006 | ||||||||
| LastUpdateDate: | 02/24/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 247825 | NY | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | MT186083 | PA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VM0101X | 247825 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine |
No ID Information.