Individual
RAJEEV MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
(765) 281-2065
Mailing address
1200 W WHITE RIVER BLVD STE 300, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01060210A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01060210A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01060210A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001054263
ANTHEM
IN
05
—
200532640
—
IN
01
—
P01761684
RAILROAD MEDICARE
IN
Enumeration date
03/10/2006
Last updated
01/27/2021
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