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Individual

DR. SHIVAN JATIN MEHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
423 GUARDIAN DR, BLOCKLEY HALL 1137, PHILADELPHIA, PA 19104-4865
(215) 898-9807
Mailing address
423 GUARDIAN DR, BLOCKLEY HALL 1137, PHILADELPHIA, PA 19104-4865
(215) 898-9807

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD441301
PA

Other

Enumeration date
06/20/2008
Last updated
06/09/2016
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