Maitri Mehta, DO

NPI #1003490921 in Dixon, Illinois

Provider Information

NPI Number: 1003490921
Entity Type: Individual
Name: Maitri Mehta, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 6, 2021
Last Updated: Jun 13, 2022

Practice Location

Address: 102 S HENNEPIN AVE
City: Dixon
State: Illinois
ZIP Code: 61021-3013
Phone: (815) 285-8520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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