Individual
DR. VIJAY A. MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 ARCADE AVE STE 400, SUITE 400, ELKHART, IN 46514-2487
(574) 522-2284
(574) 522-3952
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01063868A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01063868A
IN
207UN0901X
Nuclear Cardiology Physician
01063868A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200860370
—
IN
Enumeration date
02/23/2007
Last updated
04/28/2023
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