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Individual

DR. AVANI S MEHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
702 GORDON DR, EXTON, PA 19341-1253
(610) 363-1330
(610) 524-8574
Mailing address
702 GORDON DR, EXTON, PA 19341-1253
(610) 363-1330
(610) 524-8574

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C10010483
DE
208000000X
Pediatrics Physician
Primary
MD438957
PA
208000000X
Pediatrics Physician
MT190342
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0262790
NJ
Enumeration date
06/29/2007
Last updated
05/11/2018
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