Individual
MR. MAHESHKUMAR P. MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1190 N STATE ST, STE 300, JACKSON, MS 39202
(601) 709-0607
(601) 709-0887
Mailing address
1190 N STATE ST, STE 300, JACKSON, MS 39202
(601) 709-0607
(601) 709-0887
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13014
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
13014
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012299
—
MS
01
—
050017556
RAILROAD MEDICARE
MS
05
—
158322
—
AL
01
—
P00462286
RAILROAD MEDICARE
MS
Enumeration date
09/28/2006
Last updated
06/16/2018
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