B Rai Mehta MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

007944 Issued in TX

Legal business name

B RAI MEHTA MD

Doing business as

Grand Prairie Dialysis Center

Practice address

550 S Carrier Pkwy
450
Grand Prairie, TX 75051-1500

Phone

(817) 417-0973

Fax

(817) 417-7266

NPI assigned

Aug 3, 2006

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelly Ann Irving

Title

Billing Manager

Phone

(817) 417-0973

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grand Prairie Dialysis Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gopal H Doshi, MD

  • Nephrology Physician
  • Arlington, TX
  • NPI 1619978772

  Specialist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1356359897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S CARRIER PKWY",
            "address_2": "450",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511500",
            "telephone_number": "817-417-0973",
            "fax_number": "817-417-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S CARRIER PKWY",
            "address_2": "450",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511500",
            "telephone_number": "817-417-0973",
            "fax_number": "817-417-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B RAI MEHTA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "817-417-0973"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "007944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161011501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161011502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Prairie Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omowunmi Rachael Ayeni
• Oyeniran A Ayodele
• Edolo O Azenabor, PT
• Azora Healthcare LLC
• Amanda Azubike
• Baby Foodie LLC
• Margaret Badejo
• Aderonke Badejogbin
• Bree Bailey
• Tasneem Bakhach

• Specialist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.