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Organization
BHARGESH P. MEHTA, M.D., P.A.
Active
Organization
BHARGESH P. MEHTA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARGESH PRAMODRAY MEHTA M.D. (OWNER/PHYSICIAN)
(410) 535-5555
Entity
Organization
Contact information
Practice address
1005 PRINCE FREDERICK BLVD, SUITE 101, PRINCE FREDERICK, MD 20678-3194
(410) 535-5555
(410) 535-5599
Mailing address
1005 PRINCE FREDERICK BLVD, SUITE 101, PRINCE FREDERICK, MD 20678-3194
(410) 535-5555
(410) 535-5599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0045092
MD
208000000X
Pediatrics Physician
Primary
D0046264
MD
208000000X
Pediatrics Physician
D0054328
MD
208000000X
Pediatrics Physician
D0064682
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256000300
—
MD
Enumeration date
07/23/2007
Last updated
10/06/2009
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