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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780693341 NPPES
Indiana Other 247800C GROUP INDIVIDUAL
Indiana Other 247800 GROUP INDIVIDUAL

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