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NPI Code Detail

MEDICARE: DR. JAGAT MEHTA MD

MEDICARE:  DR. JAGAT  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
1207R00000XInternal Medicine Physician138824NY

General Provider Information

NPI Number : 1891722062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAGAT MEHTA MD
Provider Business Mailing Address
First Line : 790 LINDEN AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14625-2716
Country : US
Telephone Number : 585-385-9030
Fax Number : 585-385-9124
Provider Business Practice Location Address
First Line : 2211 LYELL AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14606-5743
Country : US
Telephone Number : 585-429-6550
Fax Number : 585-429-7298
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JAGAT MEHTA MD” Practice Location

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