Individual
PREYAS SHASHANKKUMAR MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5980 W 71ST ST STE 102, INDIANAPOLIS, IN 46278-1785
(317) 388-0800
(317) 388-0805
Mailing address
5980 W 71ST ST STE 102, INDIANAPOLIS, IN 46278-1785
(317) 388-0800
(317) 388-0805
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
033784-1
NY
225100000X
Physical Therapist
033784
NY
225100000X
Physical Therapist
1270407
TX
225100000X
Physical Therapist
Primary
40QA01711800
NJ
Other
Enumeration date
02/29/2012
Last updated
11/30/2017
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