Individual
BHARAT K MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2632 NAZARETH RD, EASTON, PA 18045-2715
(610) 253-5257
(610) 253-2336
Mailing address
2632 NAZARETH RD, EASTON, PA 18045-2715
(610) 253-5257
(610) 253-2336
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD029443E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015368290002
—
PA
01
—
005062200
INDEPENDENCE BLUESHIELD
PA
01
—
2206307
NEW JERSEY MEDICAL ASSISTACE
NJ
Enumeration date
09/13/2005
Last updated
07/01/2010
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