Mehta, Pravin Chimanlal

Mehta, Pravin Chimanlal is an individual health care provider with primary practice located at 230D W College St , Griffin GA 30224-4121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mehta, Pravin Chimanlal can be contacted via phone (770) 229-6007.

Contact Information

Primary practice address
230D W College St Griffin GA 30224-4121
Phone: (770) 229-6007
Fax: (770) 229-1518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 30028 Kentucky

Profile Details

NPI number 1720078173
LBN Legal business name Mehta, Pravin Chimanlal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720078173 NPPES
Kentucky Other 000000316391 BLUE CROSS
Kentucky MEDICAID 64300288 BLUE CROSS
Kentucky Other P00113101 BLUE CROSS

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