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Individual
DR. RAJAN I MEHTA
Active
Individual
DR. RAJAN I MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
01038376
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088459
ANTHEM
IN
05
—
100184670A
—
IN
01
—
110051751
RAILROAD MCR PIN
IN
01
—
280784
HARMONY PIN
IN
01
—
351830931
TAX ID
IN
01
—
351830931100
CARESOURCE PIN
IN
Enumeration date
11/22/2005
Last updated
12/10/2020
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