Organization
RAJENDRA MEHTA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REJENDRA MEHTA MD (DOCTOR)
(517) 435-0260
Entity
Organization
Contact information
Practice address
306 W WASHINGTON AVE STE 102, JACKSON, MI 49201-2141
(517) 744-5112
Mailing address
306 W WASHINGTON AVE STE 102, JACKSON, MI 49201-2141
(517) 744-5112
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301068733
MEDICAL LICENSE
MI
Enumeration date
09/14/2020
Last updated
12/01/2022
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