Individual
DR. KUSHAAN MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351051203
MI
Other
Enumeration date
07/06/2023
Last updated
07/08/2023
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