Individual
RUPESH R MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5225 NESCONSET HWY, SUITE 60, PORT JEFFERSON STATION, NY 11776-2053
(631) 406-6676
Mailing address
1500 ROUTE 112, BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 406-6676
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
247027
NY
Other
Enumeration date
04/17/2007
Last updated
09/19/2019
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