Sanjay S Mehta, MD
Internal Medicine, Interventional Cardiology in Urbana, IL. Individual provider (NPI-1).
NPI number1477572022
StatusActive
Last updated in NPPESJan 6, 2015
Details
- NPI
- 1477572022
- Entity type
- Individual (NPI-1)
- Name
- Sanjay S Mehta
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- Jan 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 036116289 | IL | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 036116289 | IL |
Practice location
611 W Park StCardiology
Urbana, IL 61801-2529
Phone 217-904-7000 · Fax 217-904-7742
Mailing address
611 W Park StBwpc
Urbana, IL 61801-2529
Phone 217-383-6792 · Fax 217-383-4752
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