# RAJENDRA MEHTA, MD, PC

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

## Provider details

- **NPI number:** 1477168607
- **Authorized official:** REJENDRA MEHTA MD (DOCTOR)
- **Authorized official phone:** (517) 435-0260

## Contact information

- **Practice address:** 306 W WASHINGTON AVE STE 102, JACKSON, MI 49201-2141
- **Practice address phone:** (517) 744-5112
- **Mailing address:** 306 W WASHINGTON AVE STE 102, JACKSON, MI 49201-2141
- **Mailing address phone:** (517) 744-5112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | — | NULL | Yes |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2020
- **Last updated:** 12/01/2022