Provider Demographics
NPI:1871730119
Name:MEHTA, HARSHA V (MD)
Entity type:Individual
Prefix:DR
First Name:HARSHA
Middle Name:V
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2150 NEW WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2930
Mailing Address - Country:US
Mailing Address - Phone:847-441-7119
Mailing Address - Fax:847-278-5590
Practice Address - Street 1:2150 NEW WILLOW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-2930
Practice Address - Country:US
Practice Address - Phone:847-441-7119
Practice Address - Fax:847-278-5590
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.0577832085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology