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NPI Code Detail

MEDICARE: DR. MONAL A MEHTA MD

MEDICARE:  DR. MONAL A 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 Physician35065500OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31548457765OTHERGROUP NPI

General Provider Information

NPI Number : 1154307247
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONAL A MEHTA MD
Provider Business Mailing Address
First Line : 3101 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3014
Country : US
Telephone Number : 513-357-7289
Fax Number : 513-352-1429
Provider Business Practice Location Address
First Line : 1525 ELM ST
Second Line : ELM STREET HEALTH CENTER
City : CINCINNATI
State : OH
Zip : 45202-6957
Country : US
Telephone Number : 513-352-3092
Fax Number : 513-352-1429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 08/14/2014

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Directions to “ DR. MONAL A MEHTA MD” Practice Location

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