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DHARMESH S MEHTA MD

Physicians Anesthesiology Pain Medicine

Provider NPI: 1114980760

Provider Information:
 DHARMESH S MEHTA MD
Gender: M
Not Sole Proprietor

Practice Location:
236 W COLLEGE ST  COVINA, CA 91723-1902 US
Tel: 626-608-7320  Fax: 626-608-7322

Business Mailing Address:
PO BOX 209  COVINA, CA 91723-0209 US
Tel: 626-608-7320  Fax: 626-608-7322

NPI Information:
NPI: 1114980760
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207LP2900XPhysicians
Anesthesiology
Pain Medicine
CAC52522
N207LP2900XPhysicians
Anesthesiology
IL036116929
N2084P2900XPhysicians
Psychiatry & Neurology
IL036116929

Other Provider Identifiers:

IssuerNumberStateType
MEDICAL LICENSEC52522CA01



American Medical Association 2012 taxonomy code information

Code: 207LP2900X

Type:

Classification:



Definition:



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