Provider Demographics
NPI:1902060312
Name:MEHTA, DHAVAL R (MD)
Entity Type:Individual
Prefix:
First Name:DHAVAL
Middle Name:R
Last Name:MEHTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 OXFORD DR
Mailing Address - Street 2:STE 102 UPMC CANCER CENTER
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2351
Mailing Address - Country:US
Mailing Address - Phone:412-374-1441
Mailing Address - Fax:412-374-1443
Practice Address - Street 1:400 OXFORD DR
Practice Address - Street 2:STE 102
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2351
Practice Address - Country:US
Practice Address - Phone:412-374-1441
Practice Address - Fax:412-374-1443
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2014-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY246342207R00000X
PAMD434425207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine