Provider Demographics
NPI:1477558880
Name:MEHTA, SATYEN R (MD)
Entity Type:Individual
Prefix:DR
First Name:SATYEN
Middle Name:R
Last Name:MEHTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:531 ROSELANE ST NW STE 710
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-6975
Mailing Address - Country:US
Mailing Address - Phone:678-331-3297
Mailing Address - Fax:678-581-7187
Practice Address - Street 1:100 MARKET PLACE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121-8716
Practice Address - Country:US
Practice Address - Phone:770-386-7253
Practice Address - Fax:678-382-6424
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA054809207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA570138183AMedicaid
GA1477558880OtherNPI NUMBER
GA570138183BMedicaid
GA83BBBVJMedicare PIN