Healthcare Provider Details

I. General information

NPI: 1588293708
Provider Name (Legal Business Name): AKHIL MEHTA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5725 W LAS POSITAS BLVD
PLEASANTON CA
94588-4054
US

IV. Provider business mailing address

5725 W LAS POSITAS BLVD
PLEASANTON CA
94588-4054
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-4074
  • Fax:
Mailing address:
  • Phone: 833-444-7622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number20606
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: