Individual
DR. HARSHAD ABHAYCHANDRA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, ATLANTA VA MEDICAL CENTER, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2415 PINE COVE DR, TUCKER, GA 30084
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
026598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026598
STATE OF GEORGIA LICENSE
GA
Enumeration date
07/18/2006
Last updated
07/08/2007
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