Mehta, Brijesh Prakash

Mehta, Brijesh Prakash is an individual health care provider with primary practice located at 1150 N 35Th Ave Suite 300, Hollywood FL 33021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Mehta, Brijesh Prakash can be contacted via phone (954) 265-1490.

Contact Information

Primary practice address
1150 N 35Th Ave Suite 300 Hollywood FL 33021
Fax: (954) 989-0454
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME119595 Florida

Profile Details

NPI number 1992909717
LBN Legal business name Mehta, Brijesh Prakash
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Mar 15th, 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 1992909717 NPPES
Florida MEDICAID 011693200

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