Individual
NIMESHKUMAR SURESHCHANDRA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 MISSION ST SE, SALEM, OR 97302-6217
(503) 588-3945
(503) 588-0256
Mailing address
801 MISSION ST SE, SALEM, OR 97302-6217
(503) 588-3945
(503) 588-0256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD154012
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD154012
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD154012
OR
Other
Enumeration date
03/19/2011
Last updated
02/15/2013
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