Provider Demographics
NPI:1871511659
Name:MEHTA, RINKU VAKIL (MD)
Entity type:Individual
Prefix:
First Name:RINKU
Middle Name:VAKIL
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RINKU
Other - Middle Name:
Other - Last Name:VAKIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:333 S DESPLAINES ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-5514
Mailing Address - Country:US
Mailing Address - Phone:773-435-9029
Mailing Address - Fax:773-782-6396
Practice Address - Street 1:8041 WALNUT HILL LN STE 870
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0954
Practice Address - Country:US
Practice Address - Phone:214-295-7712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83902207VE0102X
IL036.165981207VE0102X
ARE16498207VE0102X
TXM9505207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH92004Medicare UPIN