Pranav Dilip Mehta, M.B.C.H.B., M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

196152 Issued in PA

Practice address

7740B Stenton Ave
Apartment 104
Philadelphia, PA 19118-3169

Phone

(216) 543-5701

NPI assigned

Jul 5, 2009

Last updated

Jul 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246752000000",
    "number": "1568691145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740B STENTON AVE",
            "address_2": "APARTMENT 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183169",
            "telephone_number": "216-543-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740B STENTON AVE",
            "address_2": "APARTMENT 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183169",
            "telephone_number": "216-543-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PRANAV",
        "middle_name": "DILIP",
        "name_prefix": "Mr.",
        "credential": "M.B.C.H.B., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-05",
        "last_updated": "2009-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "196152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICAL BOARD",
            "identifier": "196152",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaya Mehta, D.O.
• Julie Mehta, DO
• Megan Mehta
• Nehal N Mehta, MD
• Neil Mehta, MD
• Puja Rajesh Mehta, M.D.
• Rahul Mehta, M.D.
• Rima Arum Mehta, MD
• Sagar Mehta
• Samir Mehta, MD

• Student in an Organized Health Care Education/Training Program in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2009; 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.