Individual
ADITYA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 MARINA VILLAGE PKWY STE 201, ALAMEDA, CA 94501-6472
(279) 234-4455
Mailing address
1101 MARINA VILLAGE PKWY STE 201, ALAMEDA, CA 94501-6472
(279) 234-4455
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
Y8668484
CA
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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