Mehta, Jay
Mehta, Jay is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as his primary health care specialty. Mehta, Jay can be contacted via phone (215) 590-1000.Contact Information
Primary practice address
3401 Civic Center Blvd
Philadelphia PA 19104
Phone: (215) 590-1000
Fax: (215) 590-4750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | MD428659 | Pennsylvania |
Profile Details
| NPI number | 1902003106 |
|---|---|
| LBN Legal business name | Mehta, Jay |
| Credentials | M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Dec 4th, 2018 - about 7 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 | 1902003106 | NPPES |
| Pennsylvania | MEDICAID | 1022992940002 |
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