Mehta, Prabodh

Mehta, Prabodh is an individual health care provider with primary practice located at 1324 Woodland Drive, Suite A, Elizabethtown KY 42701-2746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mehta, Prabodh can be contacted via phone (270) 765-5921.

Contact Information

Primary practice address
1324 Woodland Drive, Suite A Elizabethtown KY 42701-2746
Phone: (270) 765-5921
Fax: (270) 765-4391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30758 Kentucky

Profile Details

NPI number 1982606604
LBN Legal business name Mehta, Prabodh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Sep 15th, 2016 - about 10 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 1982606604 NPPES
Kentucky MEDICAID 64307580

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