Individual
SAMIR MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
795 WILLOW RD, MENLO PARK, CA 94025-2539
(650) 493-5000
Mailing address
1255 S CEDAR CREST BLVD STE 3200, ALLENTOWN, PA 18103-6232
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101278899
VA
2085R0202X
Diagnostic Radiology Physician
Primary
A158669
CA
Other
Enumeration date
05/20/2013
Last updated
08/01/2023
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