Healthcare Provider Details

I. General information

NPI: 1265416374
Provider Name (Legal Business Name): SANJAY MEHTA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 ALL SEASONS DR STE 140
HILLIARD OH
43026-1962
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-544-1401
  • Fax: 614-544-1403
Mailing address:
  • Phone: 614-544-1401
  • Fax: 614-544-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35.070797
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number35070797
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: