Individual
DR. MUKTIRAJ MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 E STATE ST, CASSOPOLIS, MI 49031-9339
(269) 445-2451
(269) 445-3216
Mailing address
960 E STATE ST, CASSOPOLIS, MI 49031-9339
(269) 445-2451
(269) 445-3216
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301038926
MI
Other
Enumeration date
09/12/2005
Last updated
11/02/2007
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