Mehta, Mehul Champaklal
Mehta, Mehul Champaklal is an sole proprietor health care provider with primary practice located at 5 Granger Pond Way , Lexington MA 02420-1973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mehta, Mehul Champaklal can be contacted via phone (781) 910-9445.Contact Information
Primary practice address
5 Granger Pond Way
Lexington MA 02420-1973
Phone: (781) 910-9445
Fax: (781) 863-2088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 79855 | Massachusetts |
Profile Details
| NPI number | 1710998497 |
|---|---|
| LBN Legal business name | Mehta, Mehul Champaklal |
| Credentials | MBBS; MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Apr 29th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710998497 | NPPES |
| Massachusetts | MEDICAID | 3130118 |
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