Mehta, Aditya
Mehta, Aditya is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Drive Mche/Me, Jbsa Fort Sam Houston TX 78234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mehta, Aditya can be contacted via phone (210) 916-5545.Contact Information
Primary practice address
3551 Roger Brooke Drive Mche/Me
Jbsa Fort Sam Houston TX 78234
Phone: (210) 916-5545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 29723 | Nebraska |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD2021-0820 | New Mexico |
Profile Details
| NPI number | 1679964324 |
|---|---|
| LBN Legal business name | Mehta, Aditya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2015 |
| Last updated | Aug 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679964324 | NPPES |
| New Mexico | Other | MD2021-0820 | NM LICENSE |
| New Mexico | Other | S3023 | NM LICENSE |
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