Individual
ADITYA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 N 13TH ST, SHELTON, WA 98584-2077
(360) 426-2653
Mailing address
PO BOX 1668, SHELTON, WA 98584-5001
(360) 426-2653
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
29723
NE
207W00000X
Ophthalmology Physician
MD2021-0820
NM
207W00000X
Ophthalmology Physician
Primary
MD61619491
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2021-0820
NM LICENSE
NM
01
—
MD61619491
WA LICENSE
WA
01
—
S3023
TX LICENSE
TX
Enumeration date
02/16/2015
Last updated
07/03/2025
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