Mehta, Amit Bakulesh
Mehta, Amit Bakulesh is an sole proprietor health care provider with primary practice located at 1365 Wiley Road Suite 153, Schaumburg IL 60173-4357. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mehta, Amit Bakulesh can be contacted via phone (847) 519-4701.Contact Information
Primary practice address
1365 Wiley Road Suite 153
Schaumburg IL 60173-4357
Phone: (847) 519-4701
Fax: (847) 519-4707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036120218 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 243341-1 | New York |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036120218 | Illinois |
Profile Details
| NPI number | 1811175003 |
|---|---|
| LBN Legal business name | Mehta, Amit Bakulesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2008 |
| Last updated | Dec 14th, 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 | 1811175003 | NPPES |
| Illinois | MEDICAID | 036120218 |
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