Individual
DR. SUDHIR KEN MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18101 LORAIN AVE, FAIRVIEW HOSPITAL, CLEVELAND, OH 44111-5612
(216) 476-7236
(216) 476-7021
Mailing address
18101 LORAIN AVE, FAIRVIEW HOSPITAL, CLEVELAND, OH 44111-5612
(216) 476-7236
(216) 476-7021
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
35-042480
OH
2080P0202X
Pediatric Cardiology Physician
C51884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462280
—
OH
Enumeration date
07/14/2006
Last updated
06/08/2012
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