| Bhargesh P. Mehta, M.d., P.a. | |
|
1005 Prince Frederick Blvd Suite 101 Prince Frederick MD 20678-3194 | |
| (410) 535-5555 | |
| (410) 535-5599 |
| Full Name | Bhargesh P. Mehta, M.d., P.a. |
|---|---|
| Speciality | Pediatrics |
| Location | 1005 Prince Frederick Blvd, Prince Frederick, Maryland |
| Authorized Official Name and Position | Bhargesh Pramodray Mehta (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4105355555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhargesh P. Mehta, M.d., P.a. 1005 Prince Frederick Blvd Suite 101 Prince Frederick MD 20678-3194 Ph: (410) 535-5555 | Bhargesh P. Mehta, M.d., P.a. 1005 Prince Frederick Blvd Suite 101 Prince Frederick MD 20678-3194 Ph: (410) 535-5555 |
| NPI Number | 1144420647 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 10/06/2009 |
| Medicare PECOS PAC ID | 6901878321 |
|---|---|
| Medicare Enrollment ID | O20040810000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144420647 | NPI | - | NPPES |
| 256000300 | Medicaid | MD |
| Provider Name | Parul S Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174527501 PECOS PAC ID: 4486643541 Enrollment ID: I20040512000605 |
| Provider Name | Bhargesh Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518906056 PECOS PAC ID: 4082607254 Enrollment ID: I20040929001033 |
| Provider Name | Monica Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427580398 PECOS PAC ID: 7315212297 Enrollment ID: I20200701003394 |
| Provider Name | Patricia A Smawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770109456 PECOS PAC ID: 8426413824 Enrollment ID: I20230508000045 |
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