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NPI Code Detail

MEDICARE: DR. JEET RAM MEHTA MD

MEDICARE: DR. JEET RAM 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
1208C00000XColon & Rectal Surgery Physician35-03-6259-MOH
2208C00000XColon & Rectal Surgery PhysicianMD015942EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11400021OTHERUHC
23525578001OTHERCIGNA
3CO100187OTHERPAHIGHMARK PA BLUE SHIELD
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
53233482OTHERPASUPERBLUE HMO
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7151219OTHERPAKEYSTONE HEALTH PLAN
8000000129554OTHEROHANTHEM

General Provider Information

NPI Number : 1861485591
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEET RAM MEHTA MD
Provider Business Mailing Address
First Line : 16 COLONIAL DR
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-2137
Country : US
Telephone Number : 330-759-8545
Fax Number : 330-759-8543
Provider Business Practice Location Address
First Line : 16 COLONIAL DR
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-2137
Country : US
Telephone Number : 330-759-8545
Fax Number : 330-759-8543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2005
Last Update Date : 12/16/2009

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Directions to “ DR. JEET RAM MEHTA MD” Practice Location

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