Mehta, Pratima M
Mehta, Pratima M is an sole proprietor health care provider with primary practice located at 5825 Broadway Suite A, Merrillville IN 46410-2687. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Emergency Medical Service Providers / Personal Emergency Response Attendant. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mehta, Pratima M can be contacted via phone (219) 884-1400.Contact Information
Primary practice address
5825 Broadway Suite A
Merrillville IN 46410-2687
Phone: (219) 884-1400
Fax: (219) 884-1453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01032516A | Indiana |
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | 01032516A | Indiana |
Profile Details
| NPI number | 1780693341 |
|---|---|
| LBN Legal business name | Mehta, Pratima M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Nov 26th, 2014 - about 10 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 | 1780693341 | NPPES |
| Indiana | Other | 247800C | GROUP INDIVIDUAL |
| Indiana | Other | 247800 | GROUP INDIVIDUAL |
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