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Individual

DR. NIKHIL K. MEHTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD FACS

Contact information

Practice address
251 E ANTIETAM ST, HAGERSTOWN, MD 21740-5724
(301) 790-8000
Mailing address
10016 CHARTWELL MANOR CT, POTOMAC, MD 20854-5441
(301) 469-0284

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2002-0074
NM
208600000X
Surgery Physician
0101241098
VA
208600000X
Surgery Physician
2002-0074
NM
208600000X
Surgery Physician
D0062526
MD
2086S0129X
Vascular Surgery Physician
0101241098
VA
2086S0129X
Vascular Surgery Physician
2002-0074
NM
2086S0129X
Vascular Surgery Physician
D0062526
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101241098
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2002-0074
NM
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0062526
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
28325371
NM
01
NM019828
BCBS
NM
Enumeration date
05/27/2005
Last updated
01/12/2017
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