Individual
KRUPA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSST
Contact information
Practice address
17141 RYAN RD, DETROIT, MI 48212
(313) 733-4859
Mailing address
17141 RYAN RD, DETROIT, MI 48212-1112
(313) 733-4859
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803086709
MI
Other
Enumeration date
05/27/2015
Last updated
07/08/2019
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