Nilesh Mehta Md Pllc | |
6065 Montana Ave Ste C10 El Paso TX 79925-1839 | |
(915) 540-7070 | |
(888) 822-3363 |
Full Name | Nilesh Mehta Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 6065 Montana Ave Ste C10, El Paso, Texas |
Authorized Official Name and Position | Nilesh Mehta (OWNER) |
Authorized Official Contact | 9155407070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nilesh Mehta Md Pllc 6065 Montana Ave Ste C10 El Paso TX 79925-1839 Ph: (915) 540-7070 | Nilesh Mehta Md Pllc 6065 Montana Ave Ste C10 El Paso TX 79925-1839 Ph: (915) 540-7070 |
NPI Number | 1295069896 |
---|---|
Provider Enumeration Date | 09/29/2009 |
Last Update Date | 02/23/2011 |
Medicare PECOS PAC ID | 8022159854 |
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Medicare Enrollment ID | O20091230000528 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295069896 | NPI | - | NPPES |
J2681 | Other | TX | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | J2681 (Texas) | Primary |
Provider Name | Nilesh Mehta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225045735 PECOS PAC ID: 0840331666 Enrollment ID: I20091230000521 |
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