Mahesh Mehta Md Pllc | |
27190 Highway 28 Hazlehurst MS 39083-2224 | |
(601) 944-1717 | |
(601) 944-9780 |
Full Name | Mahesh Mehta Md Pllc |
---|---|
Speciality | General Practice |
Location | 27190 Highway 28, Hazlehurst, Mississippi |
Authorized Official Name and Position | Robin Haido (CREDENTIALING MANAGER) |
Authorized Official Contact | 6019688161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mahesh Mehta Md Pllc 27190 Highway 28 Hazlehurst MS 39083-2224 Ph: () - | Mahesh Mehta Md Pllc 27190 Highway 28 Hazlehurst MS 39083-2224 Ph: (601) 944-1717 |
NPI Number | 1710562392 |
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Provider Enumeration Date | 03/15/2021 |
Last Update Date | 03/15/2021 |
Medicare PECOS PAC ID | 4981013919 |
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Medicare Enrollment ID | O20210504001877 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710562392 | NPI | - | NPPES |
00012299 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Maheshkumar P Mehta |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1326139726 PECOS PAC ID: 5294761649 Enrollment ID: I20050715001143 |
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