Organization
ANNE ARUNDEL RHEUMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHU P MEHTA MD (PHYSICIAN, OWNER)
(443) 292-4872
Entity
Organization
Contact information
Practice address
1655 CROFTON BLVD, SUITE 101, CROFTON, MD 21114-1342
(443) 292-4872
(443) 292-4892
Mailing address
PO BOX 37168, BALTIMORE, MD 21297-3168
(443) 292-4872
(443) 292-4892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RR0500X
Rheumatology Physician
Primary
D0060213
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409668100
—
MD
01
—
DD0563
RR MEDICARE
—
Enumeration date
01/26/2006
Last updated
05/03/2010
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