Mehrotra, Deepak

Mehrotra, Deepak is an individual health care provider with primary practice located at 2025 N Mount Juliet Rd Ste 200 , Mt Juliet TN 37122-3934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mehrotra, Deepak can be contacted via phone (629) 255-2032.

Contact Information

Primary practice address
2025 N Mount Juliet Rd Ste 200 Mt Juliet TN 37122-3934
Phone: (629) 255-2032
Fax: (629) 255-4223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD30253 Tennessee

Profile Details

NPI number 1043204878
LBN Legal business name Mehrotra, Deepak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jan 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043204878 NPPES
Tennessee MEDICAID 1512351

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