Individual
PRIYESH MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(937) 424-2215
Mailing address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(937) 424-2215
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
34.011983
OH
208VP0014X
Interventional Pain Medicine Physician
34.011983
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160014
—
OH
Enumeration date
07/05/2011
Last updated
05/11/2023
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