Dr. Shama R. Mehta
Internist Gastroenterologist
17850 Kedzie Ave
Hazel Crest
, Illinois 60429-2058
Dr. Shama R. Mehta
Internist Gastroenterologist
17850 Kedzie Ave
Hazel Crest
, Illinois 60429-2058
(847) 733-5108
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About
Features
Specialties
- Internist
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Shama R. Mehta
- 2650 Ridge Ave Ste 4210
- Evanston, IL
- Zip : 60201-1700
- Fax : (847) 733-5108
- Phone : (847) 570-1010
Second Address
- Dr. Shama R. Mehta
- 17850 Kedzie Ave
- Hazel Crest, IL
- Zip : 60429-2058
- Phone : (708) 957-4011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036.145733 | IL |
| N | 111NI0900X | Internist | 036.145733 | IL |
| Y | 207RG0100X | Gastroenterologist | 036.145733 | IL |
National Provider Identifier
| NPI | 1013327089 |
|---|---|
| Provider Name | Dr. Shama R. Mehta |
| First Address | Evanston, IL 60201-1700 |
| Second Address | Hazel Crest, IL 60429-2058 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2014 |
| Last Update Date | 20/09/2021 |
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.