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Individual

DR. MALA BAKSHI MEHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12011 LEE JACKSON MEMORIAL HWY, 4TH FLOOR, FAIRFAX, VA 22033-3310
(703) 383-5458
(703) 383-5519
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852
(301) 816-6660
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101229837
VA
207RR0500X
Rheumatology Physician
D0050953
MD

Other

Enumeration date
01/10/2007
Last updated
06/08/2021
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