Individual
DR. PRAVIN V CHANDRA MEHTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D. FACE
Contact information
Practice address
550 MAIN ST, NIAGARA FALLS, NY 14301-1522
(716) 285-1396
(716) 285-2497
Mailing address
121 MARKLEY DR, GETZVILLE, NY 14068-1282
(716) 636-8776
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
129523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004285874
AETNA
NY
05
—
00675934
—
NY
01
—
040426003431
FIDELIS
NY
01
—
70E621
EMPIRE
NY
01
—
98287
GHI
NY
Enumeration date
01/27/2006
Last updated
07/08/2007
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