Individual
DR. ASHU P MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1655 CROFTON BLVD, SUITE 101, CROFTON, MD 21114-1342
(443) 292-4872
(443) 292-4892
Mailing address
PO BOX 37168, BALTIMORE, MD 21297-3168
(443) 292-4872
(443) 292-4892
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D0060213
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409668100
—
MD
01
—
P00206049
RR MEDICARE
—
Enumeration date
07/15/2005
Last updated
05/03/2010
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