Mehta, Deepak S

Mehta, Deepak S is an individual health care provider with primary practice located at 104 N Staffire Dr , Schaumburg IL 60194-3826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mehta, Deepak S can be contacted via phone (847) 858-1393.

Contact Information

Primary practice address
104 N Staffire Dr Schaumburg IL 60194-3826
Fax: (847) 882-3262
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1821016429
LBN Legal business name Mehta, Deepak S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 9th, 2007 - about 17 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 1821016429 NPPES
Illinois Other 484112 MEDICARE GROUP

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