Healthcare Provider Details

I. General information

NPI: 1689513954
Provider Name (Legal Business Name): BHARGESH P. MEHTA, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 W WARD RD
DUNKIRK MD
20754-3045
US

IV. Provider business mailing address

1005 PRINCE FREDERICK BLVD STE 101
PRINCE FREDERICK MD
20678-3195
US

V. Phone/Fax

Practice location:
  • Phone: 410-257-1744
  • Fax: 410-257-6607
Mailing address:
  • Phone: 410-535-5555
  • Fax: 410-535-5599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: BHARGESH PRAMODRAY MEHTA
Title or Position: OWNER
Credential:
Phone: 410-535-5555