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Contact Information

PAAYAL P MEHTA, MD
715 ROANOKE AVE
SUITE 1
RIVERHEAD, NY11901-2729
 Phone: 631-963-4750
 Fax: 631-591-1842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PAAYAL P MEHTA · (Female)

NPI Number 1114951613
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 09/07/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 234672-1
  • NY Medicaid 02635532
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
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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