Individual
DR. JEET RAM MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 COLONIAL DR, YOUNGSTOWN, OH 44505-2137
(330) 759-8545
(330) 759-8543
Mailing address
16 COLONIAL DR, YOUNGSTOWN, OH 44505-2137
(330) 759-8545
(330) 759-8543
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35-03-6259-M
OH
208C00000X
Colon & Rectal Surgery Physician
MD015942E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129554
ANTHEM
OH
05
—
0356118
—
OH
05
—
0965835
—
OH
01
—
1400021
UHC
—
01
—
151219
KEYSTONE HEALTH PLAN
PA
01
—
3233482
SUPERBLUE HMO
PA
01
—
3525578001
CIGNA
—
01
—
CO100187
HIGHMARK PA BLUE SHIELD
PA
Enumeration date
08/29/2005
Last updated
12/16/2009
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