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Individual

JYOTIR K. MEHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
45887
GA
207RP1001X
Pulmonary Disease Physician
45887
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00797904A
GA
Enumeration date
09/07/2005
Last updated
09/29/2017
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