Individual
DR. VIPLOV KANU MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, CMD
Contact information
Practice address
894 EASTERN PKWY, BROOKLYN, NY 11213-3618
(718) 774-6060
Mailing address
10 PINERIDGE RD, GREENVALE, NY 11548-1118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
164845
NY
207RN0300X
Nephrology Physician
Primary
164845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003614
GHI
NY
05
—
01001053
—
NY
01
—
0C8521
PHS - HEALTHNET
NY
01
—
274114
UNITED HEALTHCARE
NY
01
—
4565872
AETNA (BLUE BELL)
NY
01
—
97D081
BLUE CHOICE
NY
01
—
KP685
OXFORD
NY
01
—
N2408P
HIP
NY
Enumeration date
08/26/2006
Last updated
03/21/2011
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