Brinda Mukesh Mehta
Pediatric Hematology-Oncologist
530 Ne Glen Oak Ave Uicomp/dept. Of Pediatrics Osf North Bldg. Room 5642
Peoria
, Illinois 61637
Brinda Mukesh Mehta
Pediatric Hematology-Oncologist
530 Ne Glen Oak Ave Uicomp/dept. Of Pediatrics Osf North Bldg. Room 5642
Peoria
, Illinois 61637
(309) 655-4746
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Brinda Mukesh Mehta
- 530 Ne Glen Oak Avenue Uicomp Dept Of Pediatrics, Osf North Bldg. Room 5642
- Peoria, IL
- Zip : 61637
- Phone : (309) 655-4746
Second Address
- Brinda Mukesh Mehta
- 530 Ne Glen Oak Ave Uicomp/dept. Of Pediatrics Osf North Bldg. Room 5642
- Peoria, IL
- Zip : 61637
- Fax : (309) 655-2565
- Phone : (309) 655-4746
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Is Brinda Mukesh Mehta a sole practitioner?
Is Brinda Mukesh Mehta accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0207X | Pediatric Hematology-Oncologist | 01074184A | IN |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 036.142777 | IL |
National Provider Identifier
| NPI | 1205195849 |
|---|---|
| Provider Name | Brinda Mukesh Mehta |
| First Address | Peoria, IL 61637 |
| Second Address | Peoria, IL 61637 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2012 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.