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NPI Code Detail

MEDICARE: DR. REEMA MEHTA MD

MEDICARE:  DR. REEMA  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
12084P0800XPsychiatry Physician274324NY
22084P0015XPsychosomatic Medicine Physician274324NY
32084P0015XPsychosomatic Medicine Physician282090MA

General Provider Information

NPI Number : 1972820603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REEMA MEHTA MD
Provider Business Mailing Address
First Line : 330 MOUNT AUBURN ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-5502
Country : US
Telephone Number : 617-499-5054
Fax Number :
Provider Business Practice Location Address
First Line : 330 MOUNT AUBURN ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-5597
Country : US
Telephone Number : 617-499-5054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2010
Last Update Date : 05/26/2021

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Directions to “ DR. REEMA MEHTA MD” Practice Location

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