Mehta, Vivek
Mehta, Vivek is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mehta, Vivek can be contacted via phone (217) 383-3610.Contact Information
Primary practice address
611 W Park St
Urbana IL 61801-2529
Phone: (217) 383-3610
Fax: (217) 326-2704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036088515 | Illinois |
Profile Details
| NPI number | 1568438760 |
|---|---|
| LBN Legal business name | Mehta, Vivek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jul 31st, 2020 - about 6 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 | 1568438760 | NPPES |
| Illinois | MEDICAID | 036088515 |
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