Mehta, Prabhu

Mehta, Prabhu is an sole proprietor health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Mehta, Prabhu can be contacted via phone (631) 376-4161.

Contact Information

Primary practice address
1000 Montauk Hwy West Islip NY 11795-4927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 171718 New York

Profile Details

NPI number 1255331419
LBN Legal business name Mehta, Prabhu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 15 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 1255331419 NPPES
New York MEDICAID 01800760

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