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Individual

DR. RAJNIKANT LILADHAR MEHTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 MAIN ST S, SUITE 102, MINOT, ND 58701-3956
(701) 839-6664
(701) 839-1190
Mailing address
315 MAIN ST S, SUITE 102, MINOT, ND 58701-3956
(701) 839-6664
(701) 839-1190

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4629
ND
208D00000X
General Practice Physician
4629
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13955
ND
Enumeration date
09/13/2005
Last updated
01/10/2008
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