Individual
JOGINDER PAUL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0041410
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110167461
R/R MEDICARE PROVIDER #
MD
05
—
785911200
—
MD
01
—
CN6601
R/R MEDICARE GROUP #
MD
Enumeration date
04/03/2006
Last updated
10/16/2008
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