Individual
DR. MEHUL CHAMPAKLAL MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS; MS
Contact information
Practice address
5 GRANGER POND WAY, LEXINGTON, MA 02420-1973
(781) 910-9445
(781) 863-2088
Mailing address
5 GRANGER POND WAY, LEXINGTON, MA 02420-1973
(781) 910-9445
(781) 863-2088
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
79855
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3130118
—
MA
Enumeration date
08/10/2006
Last updated
04/29/2009
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