Individual
SANJIV DEVENDRA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.E.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD467875
PA
Other
Enumeration date
06/12/2016
Last updated
12/14/2022
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