Individual
DR. RAJENDRA KUMAR MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6150 OAK TREE BLVD # 100A, INDEPENDENCE, OH 44131-6917
(440) 743-8145
(216) 201-6382
Mailing address
PO BOX 39473, SOLON, OH 44139-0473
(216) 520-3022
(216) 520-3023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35055709
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702421
—
OH
01
—
P00130605
RAILROAD MEDICARE ID
OH
Enumeration date
10/20/2006
Last updated
12/29/2020
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