Mehta, Prabhu
Mehta, Prabhu is an sole proprietor health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Mehta, Prabhu can be contacted via phone (631) 376-4161.Contact Information
Primary practice address
1000 Montauk Hwy
West Islip NY 11795-4927
Phone: (631) 376-4161
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 171718 | New York |
Profile Details
NPI number | 1255331419 |
---|---|
LBN Legal business name | Mehta, Prabhu |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 28th, 2005 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255331419 | NPPES |
New York | MEDICAID | 01800760 |
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