Provider Demographics
NPI:1457302879
Name:MEHTA, RAJEN K (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJEN
Middle Name:K
Last Name:MEHTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1331 W GRAND PKWY N STE 130
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2711
Mailing Address - Country:US
Mailing Address - Phone:281-392-3401
Mailing Address - Fax:281-392-7814
Practice Address - Street 1:10496 KATY FWY STE 130
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043
Practice Address - Country:US
Practice Address - Phone:713-464-2928
Practice Address - Fax:713-464-6560
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6148207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX042172901Medicaid
TX060050271OtherRAILROAD MEDICARE
TX6299OtherFREEDOM OF CHOICE/MHHNP
TX84012SOtherBC/BS
TX83670KMedicare ID - Type Unspecified
TX042172901Medicaid