Individual
MRS. RESHMA L MAHTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1228 S PINE ISLAND RD STE 410, PLANTATION, FL 33324-4583
(954) 837-1490
(954) 837-1188
Mailing address
PO BOX 743144, ATLANTA, GA 30374-3144
(954) 837-1490
(954) 837-1188
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
OS10191
FL
207RX0202X
Medical Oncology Physician
Primary
OS10191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280835800
—
FL
Enumeration date
09/10/2007
Last updated
11/24/2021
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