Mehta, Sharad P

Mehta, Sharad P is an individual health care provider with primary practice located at 3800 W 203Rd St Suite 202, Olympia Fields IL 60461-1184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Mehta, Sharad P can be contacted via phone (708) 679-2660.

Contact Information

Primary practice address
3800 W 203Rd St Suite 202 Olympia Fields IL 60461-1184
Phone: (708) 679-2660
Fax: (708) 503-3861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 036053461 Illinois

Profile Details

NPI number 1932159449
LBN Legal business name Mehta, Sharad P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Sep 6th, 2013 - about 12 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 1932159449 NPPES
Illinois MEDICAID 036053461

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