Mehta, Raghunath

Mehta, Raghunath is an individual health care provider with primary practice located at 40 Wayne Ln , Tappan NY 10983-1117. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mehta, Raghunath can be contacted via phone (845) 365-3968.

Contact Information

Primary practice address
40 Wayne Ln Tappan NY 10983-1117
Phone: (845) 365-3968
Fax: (845) 365-3968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 105948 New York
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 105948 New York
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 105948 New York

Profile Details

NPI number 1073584868
LBN Legal business name Mehta, Raghunath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 21st, 2011 - about 13 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 1073584868 NPPES
New York MEDICAID 00662588

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