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
Phone: (734) 261-0005
Fax: (734) 466-8567
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1598737504 | NPPES |
| Michigan | MEDICAID | 1765296 |
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