PRADIP M MEHTA MD NPI 1639151079

NPI Information

NPI: 1639151079
Provider Name: PRADIP M MEHTA, MD
Classification: Internal Medicine - 207RA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
100 ELMWOOD PARK DR
DAYTON, OH
ZIP 45449
Phone: (937) 384-0580
Get Directions

Pradip M Mehta, MD is an addiction medicine internal medicine in Dayton, OH. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. Pradip M Mehta, MD NPI is 1639151079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 ELMWOOD PARK DR
DAYTON, OH
ZIP 45449-402
Phone: (937) 384-0580

The enumeration date for this NPI number is 11/18/2005 and was last updated on 11/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		35.123682	OHIO	No
2	207LP2900X	Anesthesiology	Pain Medicine	35.123682	OHIO	No
3	208VP0000X	Pain Medicine	Pain Medicine	35.123682	OHIO	No
4	208VP0014X	Pain Medicine	Interventional Pain Medicine	35.123682	OHIO	No
5	207RA0401X	Internal Medicine	Addiction Medicine	35.123682	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2840804	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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