Individual
BHASKER RAI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3295 S COOPER ST, SUITE 131, ARLINGTON, TX 76015-2363
(817) 557-0099
Mailing address
3295 S COOPER ST, SUITE 131, ARLINGTON, TX 76015-2363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
F9815
TX
207R00000X
Internal Medicine Physician
F9815
TX
207RN0300X
Nephrology Physician
Primary
F9815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122527803
—
TX
Enumeration date
08/11/2005
Last updated
04/22/2013
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