Mehta, Mukesh J

Mehta, Mukesh J is an sole proprietor health care provider with primary practice located at 175 E Brown St Suite 110, East Stroudsburg PA 18301-3098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mehta, Mukesh J can be contacted via phone (570) 424-6667.

Contact Information

Primary practice address
175 E Brown St Suite 110 East Stroudsburg PA 18301-3098
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD027421E Pennsylvania

Profile Details

NPI number 1063576734
LBN Legal business name Mehta, Mukesh J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 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 1063576734 NPPES
Pennsylvania MEDICAID 001214709

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