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Organization
MAHESH MEHTA MD PLLC
Active
Organization
MAHESH MEHTA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN HAIDO (CREDENTIALING MANAGER)
(601) 968-8161
Entity
Organization
Contact information
Practice address
27190 HIGHWAY 28, HAZLEHURST, MS 39083-2224
(601) 944-1717
(601) 944-9780
Mailing address
27190 HIGHWAY 28, HAZLEHURST, MS 39083-2224
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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