Healthcare Provider Details

I. General information

NPI: 1043426265
Provider Name (Legal Business Name): SAHIL MEHTA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14264 INNOVATION DR
FOLSOM CA
95630-4166
US

IV. Provider business mailing address

14264 INNOVATION DR
FOLSOM CA
95630-4166
US

V. Phone/Fax

Practice location:
  • Phone: 559-250-7265
  • Fax:
Mailing address:
  • Phone: 559-250-7265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA116700
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: