Individual
DR. SHAILESH NEIL MEHTA
Active
Individual
DR. SHAILESH NEIL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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