National Provider Identifier
Raj Mehta, MD
Raj Mehta, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Brockport, NY and a listed phone number of (585) 368-4050.
Source: public NPPES record, last updated May 03, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1306868633
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 24, 2006
- Last Updated
- May 03, 2017
Practice Location
- 170 West Ave
- Brockport, NY 14420-1227
Phone: (585) 368-4050
Mailing Address
- 105 Canal Landing Blvd
- Suite 1
- Rochester, NY 14626-5107
Specialties
- Internal Medicine Physician (207R00000X)
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Biography
Raj Mehta, MD, is a Brockport internal medicine physician with a long-standing local practice. His background includes medical training at Ravindra Nath Tagore Medical College, University of Rajasthan, and he is listed as board certified with more than four decades of clinical experience. He is also identified in Brockport-area provider directories as Rajendra Mehta, MBBS, MD.
Full Record
- NPI
- 1306868633
- Entity Type
- Individual
- Last Name
- Mehta
- First Name
- Raj
- Credential
- MD
- Mailing Street Address
- 105 Canal Landing Blvd
- Mailing Address Line 2
- Suite 1
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-5107
- Mailing Country
- US
- Mailing Phone
- (585) 368-4050
- Mailing Fax
- (585) 723-6705
- Practice Street Address
- 170 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1227
- Practice Country
- US
- Practice Phone
- (585) 368-4050
- Practice Fax
- (585) 723-6705
- Enumeration Date
- July 24, 2006
- Last Updated
- May 03, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 00763671 (NY)