# PRADIP M MEHTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639151079
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 35.123682 | OH | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 35.123682 | OH | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 35.123682 | OH | Yes |
| 208VP0000X | Pain Medicine Physician | 35.123682 | OH | — |
| 208VP0014X | Interventional Pain Medicine Physician | 35.123682 | OH | — |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 11/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2840804 | — | OH |