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Individual

PIYUSH J MEHTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MDPA

Contact information

Practice address
829 EASTERN SHORE DR, SALISBURY, MD 21804-5944
(410) 546-3223
(410) 543-1267
Mailing address
PO BOX 2518, SALISBURY, MD 21802-2518
(443) 366-5023

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
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