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Individual
PANKAJ J. MEHTA
Active
Individual
PANKAJ J. MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
186127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406821001
BLUE SHIELD
NY
01
—
040426032049
FIDELIS
NY
01
—
10001348
CDPHP
NY
01
—
11268735
CAQH
NY
01
—
26151
MVP
NY
01
—
7943098
AETNA
NY
01
—
97K221
BLUE CROSS
NY
Enumeration date
04/19/2006
Last updated
07/08/2007
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