Individual
PUJA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 365-2855
(217) 365-2856
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036176029
IL
Other
Enumeration date
04/20/2021
Last updated
09/12/2025
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