Doctor Name: | MR. MAHESH M MEHTA |
NPI Number: | 1396859385 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MAO58201 |
Business Practice Address: | 426 10th Ave Paterson, NJ - 07514 |
Business Phone Number: | 9733459595 |
Business Fax Number: | 9733456996 |
Mailing Address: | 426 10th Ave, PATERSON |
State: | NJ |
Postal Code: | 07514 |
Phone Number: | 9733459595 |
Fax Number: | 9733456996 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MAO58201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |