Mehta, Satish R
Mehta, Satish R is an individual health care provider with primary practice located at 21501 Kelly Rd , Eastpointe MI 48021-3213. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mehta, Satish R can be contacted via phone (586) 776-4185.Contact Information
Primary practice address
21501 Kelly Rd
Eastpointe MI 48021-3213
Phone: (586) 776-4185
Fax: (586) 776-4185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 4301065258 | Michigan |
Profile Details
| NPI number | 1114960309 |
|---|---|
| LBN Legal business name | Mehta, Satish R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 10th, 2022 - about 3 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 | 1114960309 | NPPES |
| Michigan | MEDICAID | 4546847 TYPE 10 | |
| Michigan | MEDICAID | 4700179 | |
| Michigan | Other | SM065258 |
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