Mohta, Prabha B

Mohta, Prabha B is an individual health care provider with primary practice located at 35180 Nankin Blvd Suite 200, Westland MI 48185-2092. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mohta, Prabha B can be contacted via phone (734) 261-0005.

Contact Information

Primary practice address
35180 Nankin Blvd Suite 200 Westland MI 48185-2092
Fax: (734) 466-8567
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301050374 Michigan

Profile Details

NPI number 1598737504
LBN Legal business name Mohta, Prabha B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1598737504 NPPES
Michigan MEDICAID 1765296

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