Individual
DR. AMIT MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M1236
TX
2085R0204X
Vascular & Interventional Radiology Physician
M1236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173169701
—
TX
01
—
173169702
CSHCN
TX
05
—
173169703
—
TX
01
—
M1236
TEXAS MEDICAL LICENSE
TX
01
—
P00433523
RAILROAD MEDICARE
TX
Enumeration date
03/03/2006
Last updated
04/04/2016
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