Organization
VIRENDRA S MEHTA MD FRCS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRENDRA SINHA MEHTA MD (PRESIDENT)
(248) 842-7913
Entity
Organization
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(248) 842-7913
(313) 295-5315
Mailing address
47493 BLUE HERON CT, NORTHVILLE, MI 48168-8823
(248) 842-7913
(586) 649-7391
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18790900829350
—
MI
Enumeration date
02/12/2008
Last updated
04/29/2020
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