| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHANEL MEHTA | 1861953937 | 2022-06-19 |
Shanel Mehta is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861953937. Registration indicates Shanel Mehta is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Shanel Mehta DO |
| Practice Office Address | 500 UNIVERSITY DR HERSHEY, PA US |
| Practice Office Telephone | 8002431455 |
| Mailing Address | 242 FLETCHER ST EDISON, NJ 088201764 US |
| Business Telephone | 7322084852 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 100 Woods Rd | Valhalla, NY 105951530 | 9144937000 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |