Individual
DR. SATISH R MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21501 KELLY RD, EASTPOINTE, MI 48021-3213
(586) 776-4185
(586) 776-4185
Mailing address
3681 ACORN DR, TROY, MI 48083-5793
(313) 868-7700
(586) 776-5132
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301065258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4546847 TYPE 10
—
MI
05
—
4700179
—
MI
01
—
SM065258
BC/BS
MI
Enumeration date
06/14/2006
Last updated
08/10/2022
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