Basic Information
| Provider Information | |||||||||
| NPI: | 1487607750 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MEHTA | ||||||||
| FirstName: | NALINI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 421 W CHEW ST | ||||||||
| Address2: | PHYSICIAN ACCOUNTS | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181023406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107765100 | ||||||||
| FaxNumber: | 6106633113 | ||||||||
| Practice Location | |||||||||
| Address1: | 325 N 5TH ST | ||||||||
| Address2: | SACRED HEART HOSPITAL CENTER FOR CANCER CARE | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181023367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107764674 | ||||||||
| FaxNumber: | 6107764681 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2006 | ||||||||
| LastUpdateDate: | 11/10/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | MD020206E | PA | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 2085R0202X | MD020206E | PA | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0203X | MD020206E | PA | N | Allopathic & Osteopathic Physicians | Radiology | Therapeutic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 0014724360001 | 05 | PA | MEDICAID | 411434 | 01 | HIGHMARK BLUE SHIELD | OTHER | 0061885000 | 01 | IBC | OTHER | 5797072 | 01 | PA | AETNA PPO | OTHER | 50064558 | 01 | CBC | OTHER | 1526337 | 01 | GATEWAY HEALTH PLAN | OTHER | 2554996 | 01 | PA | CIGNA HMO/PPO | OTHER | 197020 | 01 | UNISON | OTHER | 20056104 | 01 | AMERIHEALTH MERCY | OTHER |