Individual
KIRAN MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
(301) 373-7900
(301) 373-6900
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D0036206
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D0036206
MD
Other
Enumeration date
07/18/2006
Last updated
11/06/2007
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