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NPI Code Detail

MEDICARE: MINESH J MEHTA M.D.

MEDICARE:   MINESH J MEHTA  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
1207RG0100XGastroenterology Physician82979GA

General Provider Information

NPI Number : 1295091494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINESH J MEHTA M.D.
Provider Business Mailing Address
First Line : 3320 OLD JEFFERSON RD BLDG 800
Second Line :
City : ATHENS
State : GA
Zip : 30607-1400
Country : US
Telephone Number : 706-353-2990
Fax Number : 706-353-2992
Provider Business Practice Location Address
First Line : 658 N CHASE ST STE 201
Second Line :
City : ATHENS
State : GA
Zip : 30601-1960
Country : US
Telephone Number : 706-353-2990
Fax Number : 706-353-2992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2012
Last Update Date : 07/19/2024

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Directions to “ MINESH J MEHTA M.D.” Practice Location

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