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PANKAJ J. MEHTA MD

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1801851282

Individual Registrant:
 PANKAJ J. MEHTA MD
Gender: M
Sole Proprietor

Location and contact information for practice:
1101 NOTT ST  SCHDY, NY 12308-2425 US
Tel: 518-243-4154  Fax: 518-243-1441

Contact information for business:
1462 ERIE BLVD SUITE 2 SCHENECTADY, NY 12305-1026 US
Tel: --  Fax: --

Registration Information:
NPI: 1801851282
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
NY186127

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA7943098NY01
CDPHP10001348NY01
MVP26151NY01
BLUE SHIELD000406821001NY01
FIDELIS040426032049NY01
CAQH11268735NY01
BLUE CROSS97K221NY01




HEALTH CARE JOBS NY - Page 1

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