Provider Demographics
NPI:1649208190
Name:MEHTA, SAVANT (MBBS MD DM)
Entity Type:Individual
Prefix:DR
First Name:SAVANT
Middle Name:
Last Name:MEHTA
Suffix:
Gender:M
Credentials:MBBS MD DM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545
Mailing Address - Country:US
Mailing Address - Phone:508-755-9650
Mailing Address - Fax:508-755-9750
Practice Address - Street 1:352 BELMONT ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-1008
Practice Address - Country:US
Practice Address - Phone:508-755-9650
Practice Address - Fax:508-755-9750
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156800207RG0100X, 207RT0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA156800OtherMA. MEDICAL LIC #
MAG89896Medicare UPIN