Mehta, Avani S
Mehta, Avani S is an individual health care provider with primary practice located at 702 Gordon Dr , Exton PA 19341-1253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mehta, Avani S can be contacted via phone (610) 363-1330.Contact Information
Primary practice address
702 Gordon Dr
Exton PA 19341-1253
Phone: (610) 363-1330
Fax: (610) 524-8574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C10010483 | Delaware |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MT190342 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD438957 | Pennsylvania |
Profile Details
| NPI number | 1174720460 |
|---|---|
| LBN Legal business name | Mehta, Avani S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | May 11th, 2018 - about 8 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 | 1174720460 | NPPES |
| New Jersey | MEDICAID | 0262790 |
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