Individual
DR. SHAILESH NEIL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3051 CHURCHILL DR STE 120, FLOWER MOUND, TX 75022-5900
(469) 496-2860
(469) 496-2861
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2213
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K3338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103417503
—
TX
01
—
80140S
BCBS
TX
01
—
K3338
MEDICAL LICENSE
TX
Enumeration date
12/21/2005
Last updated
05/14/2021
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