Individual
RAHUL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
2600 WESTHALL LN FL 4, MAITLAND, FL 32751-7102
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME 102595
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME 102595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007795689
AETNA/USHC
ME
01
—
061380
ANTHEM
ME
01
—
2260922
CIGNA
ME
01
—
3856210
AETNA
ME
05
—
431853699
—
ME
01
—
AA37716
HPHC
ME
Enumeration date
08/03/2006
Last updated
04/11/2016
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