Individual
DR. BHAVIN VIJAY MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1975 HIGHWAY 54 W, STE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232
Mailing address
1975 HWY. 54 W, STE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD000957
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000957
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000953257B
—
GA
05
—
000953257D
—
GA
01
—
20-0688956
PODIATRY
GA
01
—
202I487652
MEDICARE PTAN
GA
01
—
52002473
PODIATRY
GA
01
—
P00117087
PODIATRY
GA
Enumeration date
11/08/2006
Last updated
12/03/2015
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