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Individual
DR. SHASHIKANT J MEHTA
Active
Individual
DR. SHASHIKANT J MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA 0067967
FL
207R00000X
Internal Medicine Physician
MA 55739
NJ
207R00000X
Internal Medicine Physician
Primary
MD-047555-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 0067967
FL-STATE LICENSE.
FL
01
—
MA-55739
NJ -STATE LICENSE.
NJ
01
—
MD-047555-L
PA-STATE LICENSE.
PA
Enumeration date
07/18/2006
Last updated
07/09/2007
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