Provider Demographics
NPI:1841672672
Name:MEHTA, ANISH J (MD)
Entity type:Individual
Prefix:
First Name:ANISH
Middle Name:J
Last Name:MEHTA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 LIBERTY PLZ STE 301
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006-1404
Mailing Address - Country:US
Mailing Address - Phone:917-261-4414
Mailing Address - Fax:917-261-4420
Practice Address - Street 1:530 5TH AVE FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-5114
Practice Address - Country:US
Practice Address - Phone:917-261-4414
Practice Address - Fax:917-261-4420
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2023-08-01
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Provider Licenses
StateLicense IDTaxonomies
DCMD047343207R00000X
MDD87401207R00000X
MA274404207R00000X
VA0101267224207R00000X
IL036.149811207R00000X
CAA161314207R00000X
NY296482208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine