Individual
AMISHA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3440
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60574497
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD60574497
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD60574497
WA
Other
Enumeration date
05/03/2012
Last updated
04/03/2023
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