Individual
DR. NIRAJ H MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12309 PEMBROKE RD, PEMBROKE PINES, FL 33025-1723
(954) 392-4750
(954) 433-1608
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
A103983
CA
2085R0001X
Radiation Oncology Physician
Primary
ME 116959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009363800
—
FL
01
—
13451
DIMENSIONS HEALTH
FL
01
—
14RN2
BCBS OF FL
FL
01
—
29496
MEDICA
FL
01
—
367687
AVMED
FL
01
—
9129143
CIGNA
FL
01
—
927223
WELLCARE
FL
01
—
927233
WELLCARE
FL
01
—
P0020485
FLORIDA HEALTHCARE PLUS
FL
01
—
P1010576
FREEDOM HEALTH
FL
05
—
P515353
—
FL
01
—
P949934
OPTIMUM
FL
Enumeration date
11/07/2008
Last updated
04/19/2023
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