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NPI Code Detail

MEDICARE: DR. MAHENDRA P MEHTA MD

MEDICARE:  DR. MAHENDRA P 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
1207Q00000XFamily Medicine PhysicianC51516CA

General Provider Information

NPI Number : 1710937875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAHENDRA P MEHTA MD
Provider Business Mailing Address
First Line : 5911 KILLARNEY CIR
Second Line :
City : SAN JOSE
State : CA
Zip : 95138-2349
Country : US
Telephone Number : 408-528-7246
Fax Number : 408-528-7246
Provider Business Practice Location Address
First Line : 2919 THE VILLAGES PKWY
Second Line :
City : SAN JOSE
State : CA
Zip : 95135-1442
Country : US
Telephone Number : 408-274-2244
Fax Number : 408-528-7246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MAHENDRA P MEHTA MD” Practice Location

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