Individual
ANKUR MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8562 HOLLY RD, GRAND BLANC, MI 48439-8301
(810) 487-4500
(810) 991-8228
Mailing address
9400 S SAGINAW RD, SUITE D, GRAND BLANC, MI 48439-9601
(810) 487-4500
(810) 991-8228
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036134244
IL
207W00000X
Ophthalmology Physician
Primary
4301092731
MI
Other
Enumeration date
08/01/2008
Last updated
02/05/2021
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