Individual
DR. RANJANA D MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 BAY AVENUE, EAST MORICHES, NY 11940
(631) 878-1543
(631) 874-2559
Mailing address
41 BAY AVENUE, EAST MORICHES, NY 11940
(631) 878-1543
(631) 874-2559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
198176
NY
207RP1001X
Pulmonary Disease Physician
Primary
198176
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01676071
—
NY
01
—
198176
LICENCE NUMBER
NY
Enumeration date
10/04/2006
Last updated
03/07/2023
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