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General NPI Number Information
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NPI Number | 1396108049
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Entity Type | Individual
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Provider Name | DHRUV MAHTTA DO, MBA
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Gender | Male
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 30 MONUMENT RD STE 1100
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City | YORK
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State | PA
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Zip | 17403-5024
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Country | US
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Telephone | 717-851-2441
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Fax | 717-260-3322
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone | 717-851-1405
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Fax | 717-851-6969
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 1018237
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 1018237
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | DO01388
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | OS024987
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License Number State | PA
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