Individual
BHARGESH PRAMODRAY MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 HOSPITAL RD, SUITE 205, PRINCE FREDERICK, MD 20678-4019
(410) 535-5555
(410) 535-5599
Mailing address
110 HOSPITAL RD, SUITE 205, PRINCE FREDERICK, MD 20678-4019
(410) 535-5555
(410) 535-5599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0046264
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090422
AETNA
—
01
—
1020694
CIGNA
—
01
—
1201708
UNITED HEALTHCARE
—
01
—
4379
BC/BS BLUE CHOICE
—
01
—
53593501
BC/BS OF MARYLAND
MD
01
—
870226
ALLIANCE PPO
MH
Enumeration date
06/06/2006
Last updated
04/07/2008
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