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NPI Code Detail

MEDICARE: BHUPEN J MEHTA M.D.

MEDICARE: BHUPEN 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
1207L00000XAnesthesiology Physician25MA10435500NJ
2390200000XStudent in an Organized Health Care Education/Training Program
3207LP3000XPediatric Anesthesiology PhysicianMD042932DC

General Provider Information

NPI Number : 1336588706
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHUPEN J MEHTA M.D.
Provider Business Mailing Address
First Line : PO BOX 37215
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-5619
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 04/21/2026

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