Mehta, Bhupat
Mehta, Bhupat is an sole proprietor health care provider with primary practice located at 645 S Central Ave , Chicago IL 60644-5059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mehta, Bhupat can be contacted via phone (630) 280-7222.Contact Information
Primary practice address
645 S Central Ave
Chicago IL 60644-5059
Phone: (630) 280-7222
Fax: (708) 656-3551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036055686 | Illinois |
Profile Details
| NPI number | 1295717643 |
|---|---|
| LBN Legal business name | Mehta, Bhupat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Aug 28th, 2026 - about 2 months 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 | 1295717643 | NPPES |
| Illinois | Other | 110047291 | RR MEDICARE PIN |
| Illinois | Other | 131009 | RR MEDICARE PIN |
| Illinois | Other | 2487312 | RR MEDICARE PIN |
| Illinois | MEDICAID | 036055686 | RR MEDICARE PIN |
| Illinois | Other | 2221466 | RR MEDICARE PIN |
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