Individual
DR. HARESH S MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25869 KELLY RD, SUITE A, ROSEVILLE, MI 48066-4997
(586) 773-6020
(586) 773-6093
Mailing address
25869 KELLY RD, SUITE A, ROSEVILLE, MI 48066-4997
(586) 773-6020
(586) 773-6093
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301041505
MI
2084P0804X
Child & Adolescent Psychiatry Physician
4301041505
MI
2084P0805X
Geriatric Psychiatry Physician
4301041505
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2754840
—
MI
Enumeration date
07/05/2006
Last updated
02/14/2024
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