Individual
DR. ANJALI J MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 780-3332
(517) 796-4532
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 780-3332
(517) 796-4532
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
047123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260C876120
BLUE CROSS BLUE SHIELD
MI
05
—
2774567
—
MI
Enumeration date
08/18/2006
Last updated
11/21/2012
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