Individual
DR. SUDHA G MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 HOPE AVE, #309, WALTHAM, MA 02453-2721
(781) 891-8800
(781) 899-7234
Mailing address
220 TOTTEN POND RD, WALTHAM, MA 02451-7500
(781) 891-8800
(781) 891-8830
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41807
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065754
—
MA
Enumeration date
08/22/2006
Last updated
07/08/2007
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