Individual
LINA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-1700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6950
(216) 383-6749
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
35074497
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221271
UNISON
OH
01
—
000000503626
ANTHEM
OH
05
—
2278860
—
OH
01
—
363831
WELLCARE
OH
01
—
727541
BUCKEYE
OH
01
—
7314005
AETNA
OH
01
—
P00358815
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
07/26/2011
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