Mehta, Renuka
Mehta, Renuka is an individual health care provider with primary practice located at Mcg 1120 15Th St , Augusta GA 30912-0004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Mehta, Renuka can be contacted via phone (706) 721-4402.Contact Information
Primary practice address
Mcg 1120 15Th St
Augusta GA 30912-0004
Phone: (706) 721-4402
Fax: (706) 721-7872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 049921 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 01063017 | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD.15244R | Louisiana |
Profile Details
| NPI number | 1306955356 |
|---|---|
| LBN Legal business name | Mehta, Renuka |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 14th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306955356 | NPPES |
| South Carolina | MEDICAID | G49921 | |
| South Carolina | MEDICAID | 000927121B |
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