Individual
DR. RAHUL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
688 TIMBER RIDGE DR, HIGHLAND, MI 48357-4342
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301068482
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104542973
—
MI
05
—
104542982
—
MI
05
—
104590620
—
MI
05
—
104758393
—
MI
01
—
RM068482
BC/BS OF MICHIGAN
MI
Enumeration date
06/12/2006
Last updated
06/20/2008
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