Individual
ALI MAHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(858) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD15746
RI
2084A2900X
Neurocritical Care Physician
C198535
CA
2084N0400X
Neurology Physician
Primary
C198535
CA
Other
Enumeration date
06/23/2009
Last updated
09/23/2024
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