Mehta, Davendra

Mehta, Davendra is an sole proprietor health care provider with primary practice located at 117-10 Hillside Avenue , Richmond Hill NY 11419. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mehta, Davendra can be contacted via phone (718) 297-0440.

Contact Information

Primary practice address
117-10 Hillside Avenue Richmond Hill NY 11419
Phone: (718) 297-0440
Fax: (718) 297-0442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 191259 New York
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 191259 New York

Profile Details

NPI number 1326084971
LBN Legal business name Mehta, Davendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Apr 26th, 2019 - about 5 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 1326084971 NPPES
New York MEDICAID 01424148

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