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Contact Information

SHRIKANT A MEHTA, MD
1800 23RD AVE
AVON
AVON, IL61415
 Phone: 309-465-3129
 Fax: 309-465-3219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SHRIKANT A MEHTA · (Male)

NPI # 1346358199
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 10/22/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036056404
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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