Mehrotra, Badri Nath

Mehrotra, Badri Nath is an sole proprietor health care provider with primary practice located at 301 Health Park Blvd Suite 216, St. Augustine FL 32086. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Mehrotra, Badri Nath can be contacted via phone (904) 824-9044.

Contact Information

Primary practice address
301 Health Park Blvd Suite 216 St. Augustine FL 32086
Phone: (904) 824-9044
Fax: (904) 824-9055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0021344 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0021344 Florida

Profile Details

NPI number 1497789721
LBN Legal business name Mehrotra, Badri Nath
Credentials M.D. P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Oct 27th, 2010 - about 16 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 1497789721 NPPES
Florida Other 494005 AETNA-SPECIALTY
Florida MEDICAID 052939700 AETNA-SPECIALTY

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