Individual
ANIL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5529
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5529
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35066373M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0958656
—
OH
Enumeration date
07/19/2005
Last updated
05/31/2011
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