Organization
GOVIND K MEHTA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOVINDRAM K MEHTA M.D. (OWNER)
(440) 329-7345
Entity
Organization
Contact information
Practice address
125 E BROAD ST, SUITE 322, ELYRIA, OH 44035-6400
(440) 329-7345
(440) 329-7347
Mailing address
125 E BROAD ST, SUITE 322, ELYRIA, OH 44035-6400
(440) 329-7345
(440) 329-7347
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35049795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526372
—
OH
Enumeration date
02/14/2012
Last updated
03/29/2012
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