Individual
PARAG MEHTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E HIGHLAND AVE STE 551, SAN BERNARDINO, CA 92404-3840
(909) 882-9150
(909) 883-8972
Mailing address
3660 PARK SIERRA DR STE 203, RIVERSIDE, CA 92505-3071
(951) 687-3400
(951) 687-7630
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A100778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1007780
—
CA
Enumeration date
07/31/2007
Last updated
08/04/2021
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