MEDICARE: DR. SANGITA PATEL MEHTA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	75572	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000133246	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1538160932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANGITA PATEL MEHTA MD

Provider Business Mailing Address
First Line	:	850 BRAINARD RD
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	OH
Zip	:	44143-3146
Country	:	US
Telephone Number	:	440-442-8329
Fax Number	:	440-442-9088

Provider Business Practice Location Address
First Line	:	850 BRAINARD RD
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	OH
Zip	:	44143-3146
Country	:	US
Telephone Number	:	440-442-8329
Fax Number	:	440-442-9088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	03/31/2008

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