Mehta, Ashima D

Mehta, Ashima D is an individual health care provider with primary practice located at 675 W North Ave Suite105, Melrose Park IL 60160-1634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Mehta, Ashima D can be contacted via phone (708) 450-4540.

Contact Information

Primary practice address
675 W North Ave Suite105 Melrose Park IL 60160-1634
Fax: (708) 450-5760
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X Illinois

Profile Details

NPI number 1932180130
LBN Legal business name Mehta, Ashima D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jan 9th, 2008 - about 16 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 1932180130 NPPES
Illinois Other 211479 MEDICARE PIN - COOK CO.
Illinois Other 211482 MEDICARE PIN - COOK CO.

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