Mehta, Manish
Mehta, Manish is an individual health care provider with primary practice located at 6 Wellness Way Ste G02 , Latham NY 12110-2135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mehta, Manish can be contacted via phone (518) 782-3900.Contact Information
Primary practice address
6 Wellness Way Ste G02
Latham NY 12110-2135
Phone: (518) 782-3900
Fax: (518) 782-3844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 205079 | New York |
Profile Details
| NPI number | 1376534602 |
|---|---|
| LBN Legal business name | Mehta, Manish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Apr 12th, 2024 - about 5 months 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 | 1376534602 | NPPES |
| New York | MEDICAID | 02164583 |
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