Organization
ANIL MEHTA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA FORSYTHE (BUSINESS MANAGER)
(661) 322-8466
Entity
Organization
Contact information
Practice address
3941 SAN DIMAS ST, 104, BAKERSFIELD, CA 93301-5734
(661) 322-8466
(661) 322-5902
Mailing address
3941 SAN DIMAS ST, 104, BAKERSFIELD, CA 93301-5734
(661) 322-8466
(661) 322-5902
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A38980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A38980
MEDICARE
CA
05
—
A38980
—
CA
Enumeration date
10/05/2010
Last updated
10/05/2010
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