Individual
DR. VARUN MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 434-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63743-20
WI
208M00000X
Hospitalist Physician
Primary
63742
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086453
—
WI
Enumeration date
06/27/2012
Last updated
11/07/2023
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