Individual
VINOD CHIMANLAL MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 SE BISHOP BLVD STE 103, PULLMAN, WA 99163
(509) 338-6000
Mailing address
840 SE BISHOP BLVD STE 101, PULLMAN, WA 99163-5502
(509) 332-6139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029913
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330085D
—
GA
Enumeration date
07/13/2005
Last updated
08/29/2019
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