Organization
MEHTA MEDICINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDEEP MEHTA MD (OWNER)
(704) 787-4537
Entity
Organization
Contact information
Practice address
2475 HILLCREST CENTER CIR, WINSTON SALEM, NC 27103-3048
(704) 787-4537
Mailing address
1543 HEATHER GLEN RD, KANNAPOLIS, NC 28081-6410
(704) 787-4537
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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