Individual
NILESH R. MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4480 UTICA RIDGE RD, SUITE 2236, BETTENDORF, IA 52722-1656
(563) 742-5850
(563) 742-5855
Mailing address
4480 UTICA RIDGE RD, SUITE 2236, BETTENDORF, IA 52722-1656
(563) 742-5850
(563) 742-5855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38650
IA
207Q00000X
Family Medicine Physician
R-7789
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982826905
—
IA
Enumeration date
05/02/2007
Last updated
01/15/2014
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