Individual
DR. DIVYANG DOLAT MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4950 ESSEN LN, BATON ROUGE, LA 70809-3738
(225) 767-0847
(225) 215-1380
Mailing address
PO BOX 11407 DEPT 1299, BIRMINGHAM, AL 35246-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
12735
NV
2085R0001X
Radiation Oncology Physician
Primary
N7723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285833608
—
NV
05
—
218362601
—
TX
05
—
218362602
—
TX
01
—
P00790625
RAILROAD MEDICARE
NV
01
—
P00889692
RAILROAD MEDICARE
TX
Enumeration date
07/16/2007
Last updated
06/24/2024
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