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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Archana Pramod Mehta | [sources] | |||
| Other name | Patel, Archana Mayank | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Archana | [sources] | |||
| Last name | Mehta | [sources] | |||
| Middle name | Pramod | [sources] | |||
| NPI | 1710142021 | [sources] | |||
| Registration number | A 140604 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 5037 Bristol Court, Cleveland, OH, 44124 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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