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Individual

ISHAN MEHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342
(678) 843-7001
Mailing address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7001

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
080680
GA

Other

Enumeration date
04/04/2011
Last updated
06/01/2018
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