Individual
KEYUR MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 POPLAR ST, SUITE 101, BRONX, NY 10461-2648
(718) 405-8560
(718) 405-8561
Mailing address
1625 POPLAR ST, SUITE 101, BRONX, NY 10461-2648
(718) 405-8560
(718) 405-8561
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
256684
NY
Other
Enumeration date
07/18/2007
Last updated
09/15/2010
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