| Jagat S Mehta Md Pc | |
|
2211 Lyell Ave Rochester NY 14606-5743 | |
| (585) 429-6550 | |
| Not Available |
| Full Name | Jagat S Mehta Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2211 Lyell Ave, Rochester, New York |
| Authorized Official Name and Position | Jagat S Mehta (PRESIDENT) |
| Authorized Official Contact | 5854296550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jagat S Mehta Md Pc 2211 Lyell Ave Rochester NY 14606-5743 Ph: (585) 429-6550 | Jagat S Mehta Md Pc 2211 Lyell Ave Rochester NY 14606-5743 Ph: (585) 429-6550 |
| NPI Number | 1356643779 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 11/18/2010 |
| Medicare PECOS PAC ID | 5991985053 |
|---|---|
| Medicare Enrollment ID | O20110207000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356643779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 138824 (New York) | Primary |
| Provider Name | Jagat Singh Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891722062 PECOS PAC ID: 2163556051 Enrollment ID: I20110207000217 |
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