Individual
ANITA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4234 RIVERWALK PKWY STE 230, RIVERSIDE, CA 92505-3312
(951) 781-3672
Mailing address
4234 RIVERWALK PKWY STE 230, RIVERSIDE, CA 92505-3312
(951) 781-3672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.41073
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A169973
CA
207RP1001X
Pulmonary Disease Physician
Primary
A169973
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
06/18/2024
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