# PAMELA MEHTA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295187060
- **Authorized official:** PAMELA MEHTA MD (CEO)
- **Authorized official phone:** (415) 871-5520

## Contact information

- **Practice address:** 2242 CAMDEN AVE, SUITE 104, SAN JOSE, CA 95124-2029
- **Practice address phone:** (415) 871-5520
- **Mailing address:** 1060 WILLOW ST, SUITE 3-110, SAN JOSE, CA 95125-2350
- **Mailing address phone:** (415) 871-5520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2016
- **Last updated:** 07/06/2016