Individual
MADHUSUDAN P MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 PEARL RD, 2ND FLOOR, MIDDLEBURG HTS, OH 44130
(440) 845-0900
(440) 845-7355
Mailing address
6900 PEARL RD, 2ND FLOOR, MIDDLEBURG HTS, OH 44130
(440) 845-0900
(440) 845-7355
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35039184
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119571
—
OH
Enumeration date
05/17/2006
Last updated
07/17/2007
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