Individual
RAJESH M. MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9312 BRODIE LN, AUSTIN, TX 78748-5176
(512) 368-5294
(512) 368-5289
Mailing address
PO BOX 161328, AUSTIN, TX 78716-1328
(512) 368-5294
(512) 368-5289
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
16787
WV
207RG0100X
Gastroenterology Physician
35062919
OH
207RG0100X
Gastroenterology Physician
Primary
N0270
TX
207RI0008X
Hepatology Physician
16787
WV
207RI0008X
Hepatology Physician
35062919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0854384
—
OH
01
—
1396812491
VEC NPI
OH
01
—
1434905
UMWA
—
05
—
313917201
—
TX
05
—
313917202
—
TX
01
—
DF8863
RR MEDCR
—
01
—
P00401030
RR MEDCR
—
Enumeration date
10/23/2006
Last updated
07/07/2022
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