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1538797238

NPI Code Detail

MEDICARE: RADHIKA MEHTA MD

MEDICARE: RADHIKA 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	207R00000X	Internal Medicine Physician	324138	NY
2	207R00000X	Internal Medicine Physician	324138-01	NY
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	324138	NY

General Provider Information

NPI Number	:	1538797238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADHIKA MEHTA MD

Provider Business Mailing Address
First Line	:	750 E ADAMS ST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13210-2306
Country	:	US
Telephone Number	:	315-464-5240
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 E ADAMS ST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13210-2306
Country	:	US
Telephone Number	:	515-464-5240
Fax Number	:

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

Provider Enumeration Date	:	03/29/2020
Last Update Date	:	12/17/2025

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Directions to “ RADHIKA MEHTA MD” Practice Location

Language	Start Address	Practice Location

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