Basic Information
Provider Information
NPI: 1316930365
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEHTA
FirstName: NEHA
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
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Mailing Information
Address1: 200 HENRY CLAY AVE. CHILDREN'S HOSPITAL
Address2: CARE CENTER
City: NEW ORLEANS
State: LA
PostalCode: 70118
CountryCode: US
TelephoneNumber: 5048969237
FaxNumber: 7023695827
Practice Location
Address1: 200 HENRY CLAY AVE
Address2: CARE CENTER
City: NEW ORLEANS
State: LA
PostalCode: 701185720
CountryCode: US
TelephoneNumber: 5048969237
FaxNumber: 5048969733
Other Information
ProviderEnumerationDate: 08/24/2005
LastUpdateDate: 03/11/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080C0008X205844LAY Allopathic & Osteopathic PhysiciansPediatricsChild Abuse Pediatrics

No ID Information.


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