Provider Demographics
NPI:1720180334
Name:MEHTA, NALIN J (MD)
Entity Type:Individual
Prefix:
First Name:NALIN
Middle Name:J
Last Name:MEHTA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:274 UNION BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1813
Mailing Address - Country:US
Mailing Address - Phone:303-893-5138
Mailing Address - Fax:303-893-5610
Practice Address - Street 1:274 UNION BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1813
Practice Address - Country:US
Practice Address - Phone:303-893-5138
Practice Address - Fax:303-893-5610
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2013-11-14
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Provider Licenses
StateLicense IDTaxonomies
CO32511207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COE96181Medicare UPIN
COC500968Medicare PIN