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NPI Code Detail

MEDICARE: MRS. DIPTI D MEHTA MD

MEDICARE: MRS. DIPTI D 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
1208M00000XHospitalist PhysicianME58256FL
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianME58256FL
3207R00000XInternal Medicine PhysicianME58256FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558348862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIPTI D MEHTA MD
Provider Business Mailing Address
First Line : 13067 N TELECOM PKWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-0926
Country : US
Telephone Number : 813-779-6303
Fax Number : 888-977-1998
Provider Business Practice Location Address
First Line : 13067 N TELECOM PKWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-0926
Country : US
Telephone Number : 813-779-6303
Fax Number : 888-977-1998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 10/21/2019

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Directions to “ MRS. DIPTI D MEHTA MD” Practice Location

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