Individual
MUDRESH RAJNIKANT MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3635 VISTA AVE, 14 FLOOR, DESLOGE TOWERS, SAINT LOUIS, MO 63110-2539
(314) 577-8762
Mailing address
3635 VISTA AVE, 14 FLOOR, DESLOGE TOWERS, SAINT LOUIS, MO 63110-2539
(314) 577-8762
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2016013265
MO
Other
Enumeration date
12/01/2009
Last updated
07/09/2024
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