Individual
MR. RAJENDRA H MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 W WASHINGTON AVE STE 102, JACKSON, MI 49201-2141
(517) 435-0260
(517) 435-0261
Mailing address
306 W WASHINGTON AVE STE 102, JACKSON, MI 49201-2141
(517) 435-0260
(517) 435-0261
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
RM068733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4769501
—
MI
Enumeration date
04/25/2006
Last updated
12/01/2022
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