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Contact Information

UMESH M MHATRE, MD
165 SW VISION GLENN
LAKE CITY, FL32025-1111
 Phone: 386-755-1800
 Fax: 386-758-8770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for UMESH M MHATRE · (Male)

NPI Number 1013098144
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2006
Last updated 07/09/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME-0027561
  • FL Medicaid 037553500
  • FL Other 01251 BC/BS OF FL
  • FL Other ME0027561 FL LICENSE
  • FL Other 592245265 2001 OHIO BUREAU WORK COMP
  • FL Other 406263894 RAIILROAD MEDICARE
  • FL Other 59-2245265 TIN #
Hospital affiliation(s)
  • LAKE CITY MEDICAL CENTER - (Acute Care)
    340 NW COMMERCE DR
    LAKE CITY, FL 32055
  • SHANDS LAKE SHORE REGIONAL MEDICAL CENTER - (Acute Care)
    368 NE FRANKLIN ST
    LAKE CITY, FL 32055
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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