Provider Demographics
NPI:1871705582
Name:MEHTA, SANJEEV NARENDRA (MD)
Entity type:Individual
Prefix:DR
First Name:SANJEEV
Middle Name:NARENDRA
Last Name:MEHTA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:65 GLEN RD
Mailing Address - Street 2:UNIT H-13
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7770
Mailing Address - Country:US
Mailing Address - Phone:513-252-1021
Mailing Address - Fax:617-730-0194
Practice Address - Street 1:1 JOSLIN PL
Practice Address - Street 2:PEDIATRIC UNIT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5306
Practice Address - Country:US
Practice Address - Phone:617-732-2603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2217442080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology