Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 46795 | CO |
N | 207RI0011X | Interventional Cardiology | 46795 | CO |
NPI | 1023100062 |
---|---|
Provider Name | Dr. Sameer Kumar Mehta |
First Address | Lakewood, CO 80228-1704 |
Second Address | Lakewood, CO 80228-1704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 27/01/2022 |