Individual
DAKSHA N MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12462 PUTNAM ST STE 208, WHITTIER, CA 90602-1049
(562) 789-5470
Mailing address
PO BOX 1247, ELGIN, IL 60121-1247
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036064973
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036064973
IL
207RP1001X
Pulmonary Disease Physician
036064973
IL
Other
Enumeration date
07/17/2006
Last updated
08/30/2019
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