Mehul M Mehta
Plastic Hand Surgeon
11012 E 13 Mile Rd Suite 112
Warren
, Michigan 48093-2572
Mehul M Mehta
Plastic Hand Surgeon
11012 E 13 Mile Rd Suite 112
Warren
, Michigan 48093-2572
(586) 582-0964
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About
Features
Specialties
- Plastic Hand Surgeon
Languages spoken
- English
Location
First Address
- Mehul M Mehta
- 29900 Lorraine Ave Suite 400
- Warren, MI
- Zip : 48093-5266
- Fax : (586) 582-0964
- Phone : (586) 582-0864
Second Address
- Mehul M Mehta
- 11012 E 13 Mile Rd Suite 112
- Warren, MI
- Zip : 48093-2572
- Fax : (586) 573-2562
- Phone : (586) 573-6880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2082S0105X | Plastic Hand Surgeon | 4301055720 | MI |
National Provider Identifier
| NPI | 1770575763 |
|---|---|
| Provider Name | Mehul M Mehta |
| First Address | Warren, MI 48093-5266 |
| Second Address | Warren, MI 48093-2572 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2005 |
| Last Update Date | 07/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3075874 | (05) | MI |
| F24332 | (02) | |
| MM055720 | BCBS PIN # (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.