Individual
JAYA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-5161
Mailing address
1701 HUNTERS PATH LN, PITTSBURGH, PA 15241-3154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT016097
PA
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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