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NPI Code Detail

MEDICARE: PREETI MEHTA MD

MEDICARE: PREETI MEHTA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician227132NY
2207RG0100XGastroenterology Physician227132NY

General Provider Information

NPI Number : 1134335946
Entity Type Code : Individual
Provider Name (Legal Business Name) : PREETI MEHTA MD
Provider Business Mailing Address
First Line : 3 LAVENDERS CT
Second Line :
City : MANHASSET
State : NY
Zip : 11030-3923
Country : US
Telephone Number : 718-480-6000
Fax Number : 347-236-3163
Provider Business Practice Location Address
First Line : 915 HILLSIDE AVE
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11040-2529
Country : US
Telephone Number : 718-480-6000
Fax Number : 347-236-3163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 05/28/2015

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