Individual
DR. KINNER A MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 VESTAL PKWY E, VESTAL, NY 13850-1748
(607) 754-5342
(607) 754-5508
Mailing address
1020 VESTAL PKWY E, VESTAL, NY 13850-1748
(607) 754-5342
(607) 754-5508
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
064603
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
248318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03045732
—
NY
Enumeration date
06/06/2008
Last updated
03/19/2021
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