MEDICARE: FALGUNI N. 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
1	207Q00000X	Family Medicine Physician	37813	IA
2	207Q00000X	Family Medicine Physician	R-7965	IA

Other Identifiers

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

General Provider Information

NPI Number	:	1831311851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FALGUNI N. MEHTA M.D.

Provider Business Mailing Address
First Line	:	4480 UTICA RIDGE RD
Second Line	:	SUITE 2236
City	:	BETTENDORF
State	:	IA
Zip	:	52722-1656
Country	:	US
Telephone Number	:	563-742-5850
Fax Number	:	563-742-5855

Provider Business Practice Location Address
First Line	:	4480 UTICA RIDGE RD
Second Line	:	SUITE 2236
City	:	BETTENDORF
State	:	IA
Zip	:	52722-1656
Country	:	US
Telephone Number	:	563-742-5850
Fax Number	:	563-742-5855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	01/15/2014

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Directions to “ FALGUNI N. MEHTA M.D.” Practice Location

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