Individual
ANITA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501
(701) 323-5422
(701) 323-8645
Mailing address
PO BOX 2010, FARGO, ND 58122-2484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14982
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2017
Last updated
03/25/2022
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