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Organization
NIMISHA MEHTA MD PA
Active
Organization
NIMISHA MEHTA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMISHA MEHTA M.D. (MANAGING MEMBER)
(469) 916-6641
Entity
Organization
Contact information
Practice address
860 HEBRON PKWY STE 401, LEWISVILLE, TX 75057-5143
(469) 916-6641
(469) 322-4175
Mailing address
860 HEBRON PKWY STE 401, LEWISVILLE, TX 75057-5143
(469) 916-6641
(469) 322-4175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084SV
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/10/2009
Last updated
12/27/2010
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