Provider Demographics
NPI:1902127582
Name:MEHTA, SRAVANI VENKATA ANJANA (MD)
Entity Type:Individual
Prefix:DR
First Name:SRAVANI
Middle Name:VENKATA ANJANA
Last Name:MEHTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2900 FELICIA ST STE 103
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4043
Mailing Address - Country:US
Mailing Address - Phone:615-450-6758
Mailing Address - Fax:908-282-3384
Practice Address - Street 1:1000 PHYSICIANS WAY STE 144
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1471
Practice Address - Country:US
Practice Address - Phone:615-450-6758
Practice Address - Fax:833-471-4798
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-17
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD78189208100000X
TN560052081P0301X, 208100000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No2081P0301XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationBrain Injury MedicineGroup - Single Specialty