Individual
PIYUSH J MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDPA
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0057333
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000037491
DEMA
—
05
—
722102900
—
MD
Enumeration date
07/14/2005
Last updated
03/12/2018
Update your record
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