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Contact Information

HARESH S MEHTA, MD
25869 KELLY RD
SUITE A
ROSEVILLE, MI48066-4997
 Phone: 586-773-6020
 Fax: 586-773-6093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for HARESH S MEHTA · (Male)

NPI Number 1538190038
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2006
Last updated 02/14/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301041505
  • MI Medicaid 2754840
Hospital affiliation(s)
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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