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.
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)
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)