Individual
DR. AJEET SINGH MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 WARRENVILLE RD STE 110, LISLE, IL 60532-1348
(630) 946-2020
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036-152359
IL
2085N0700X
Neuroradiology Physician
MD472494
PA
2085R0202X
Diagnostic Radiology Physician
036152359
IL
2085R0202X
Diagnostic Radiology Physician
080909
GA
2085R0202X
Diagnostic Radiology Physician
MD472494
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036152359
—
IL
Enumeration date
04/18/2012
Last updated
08/16/2023
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