Mehta, Deepak S
Mehta, Deepak S is an individual health care provider with primary practice located at 104 N Staffire Dr , Schaumburg IL 60194-3826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mehta, Deepak S can be contacted via phone (847) 858-1393.Contact Information
Primary practice address
104 N Staffire Dr
Schaumburg IL 60194-3826
Phone: (847) 858-1393
Fax: (847) 882-3262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois |
Profile Details
| NPI number | 1821016429 |
|---|---|
| LBN Legal business name | Mehta, Deepak S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1821016429 | NPPES |
| Illinois | Other | 484112 | MEDICARE GROUP |
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