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NPI Code Detail

MEDICARE: DR. NIRAJ MAHENDRA MEHTA D.O.

MEDICARE: DR. NIRAJ MAHENDRA MEHTA D.O.
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 PhysicianL7482TX

General Provider Information

NPI Number : 1730186230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIRAJ MAHENDRA MEHTA D.O.
Provider Business Mailing Address
First Line : 8845 DAVIS BLVD STE 100
Second Line :
City : KELLER
State : TX
Zip : 76248-0391
Country : US
Telephone Number : 817-900-9525
Fax Number : 817-900-9545
Provider Business Practice Location Address
First Line : 8845 DAVIS BLVD STE 100
Second Line :
City : KELLER
State : TX
Zip : 76248-0391
Country : US
Telephone Number : 817-900-9525
Fax Number : 817-900-9545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 10/12/2021

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Directions to “ DR. NIRAJ MAHENDRA MEHTA D.O.” Practice Location

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