Mehta, Sandeep D.
Mehta, Sandeep D. is an individual health care provider with primary practice located at 1160 Park Ave W Ste 5N , Highland Park IL 60035-2271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mehta, Sandeep D. can be contacted via phone (847) 432-7222.Contact Information
Primary practice address
1160 Park Ave W Ste 5N
Highland Park IL 60035-2271
Phone: (847) 432-7222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036112471 | Illinois |
Profile Details
| NPI number | 1558300319 |
|---|---|
| LBN Legal business name | Mehta, Sandeep D. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jun 26th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558300319 | NPPES |
| Illinois | MEDICAID | 036112471 |
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