Mehta, Pratik Arunkumar
Mehta, Pratik Arunkumar is an individual health care provider with primary practice located at 502 Sixth Baxter Xing Suite A, Fort Mill SC 29708-6428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mehta, Pratik Arunkumar can be contacted via phone (803) 835-2088.Contact Information
Primary practice address
502 Sixth Baxter Xing Suite A
Fort Mill SC 29708-6428
Phone: (803) 835-2088
Fax: (803) 835-2099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36195 | South Carolina |
Profile Details
| NPI number | 1164734448 |
|---|---|
| LBN Legal business name | Mehta, Pratik Arunkumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2010 |
| Last updated | Mar 12th, 2014 - about 11 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 | 1164734448 | NPPES |
| South Carolina | MEDICAID | 361959 |
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