Mehta, Pradeep K

Mehta, Pradeep K is an individual health care provider with primary practice located at 3401 Conifer Dr , Springfield IL 62711-8300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mehta, Pradeep K can be contacted via phone (217) 726-0967.

Contact Information

Primary practice address
3401 Conifer Dr Springfield IL 62711-8300
Phone: (217) 726-0967
Fax: (217) 726-7633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036-050314 Illinois

Profile Details

NPI number 1366414443
LBN Legal business name Mehta, Pradeep K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 7th, 2023 - about 2 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 1366414443 NPPES
Other 136860 HEALTHLINK CIGNA
Other 390002369 HEALTHLINK CIGNA
Other 336-015704 HEALTHLINK CIGNA
Other 036050314 HEALTHLINK CIGNA
Other 44741 HEALTHLINK CIGNA
MEDICAID 036-050314 HEALTHLINK CIGNA

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