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NPI Code Detail

MEDICARE: PRITI MEHTA GOR M.D.

MEDICARE:   PRITI MEHTA GOR  M.D.
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 Physician35.099445OH

General Provider Information

NPI Number : 1134438138
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRITI MEHTA GOR M.D.
Provider Business Mailing Address
First Line : 6729 PIN TAIL DR
Second Line :
City : BRECKSVILLE
State : OH
Zip : 44141-2845
Country : US
Telephone Number : 216-225-3400
Fax Number :
Provider Business Practice Location Address
First Line : 8701 DARROW RD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-2105
Country : US
Telephone Number : 216-407-2402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2010
Last Update Date : 12/13/2016

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Directions to “ PRITI MEHTA GOR M.D.” Practice Location

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