Mehta, Satish R

Mehta, Satish R is an individual health care provider with primary practice located at 21501 Kelly Rd , Eastpointe MI 48021-3213. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mehta, Satish R can be contacted via phone (586) 776-4185.

Contact Information

Primary practice address
21501 Kelly Rd Eastpointe MI 48021-3213
Phone: (586) 776-4185
Fax: (586) 776-4185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301065258 Michigan

Profile Details

NPI number 1114960309
LBN Legal business name Mehta, Satish R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 10th, 2022 - about 3 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 1114960309 NPPES
Michigan MEDICAID 4546847 TYPE 10
Michigan MEDICAID 4700179
Michigan Other SM065258

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