Provider Demographics
NPI:1336562461
Name:MEHTA, RAJESH
Entity type:Individual
Prefix:
First Name:RAJESH
Middle Name:
Last Name:MEHTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3527 HIGHWAY 6
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4519
Mailing Address - Country:US
Mailing Address - Phone:281-242-3343
Mailing Address - Fax:
Practice Address - Street 1:3527 HIGHWAY 6
Practice Address - Street 2:SUITE 270
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4519
Practice Address - Country:US
Practice Address - Phone:281-242-3343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography