Brinda Mukesh Mehta

M.D. | Pediatric Hematology-Oncology | Female

---

Complete Profile:

Brinda Mukesh Mehta basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Brinda Mukesh Mehta
Credential :	M.D.
Gender :	Female

Business Address:

Brinda Mukesh Mehta address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	530 Ne Glen Oak Ave, Uicomp/dept. Of Pediatrics Osf North Bldg. Room 5642 Peoria, IL, 61637 United States
Phone Number :	309-655-4746
Fax Number :	309-655-2565

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1205195849
NPI Entity Type :	Individual
First Enrolment Date :	15 May, 2012
Last Updated On :	17 Mar, 2018

Medicare Participation:

Brinda Mukesh Mehta participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3779856349
Medicare Enrollment ID :	I20170901000493
Primary Specialty :	Hematology/oncology
Medical School :	Other
Graduation Year :	2009
Accepts Medicare?	Yes. Brinda Mukesh Mehta accepts medicare insurance.

Group Practice Association:

Brinda Mukesh Mehta is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Brinda Mukesh Mehta is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Board Of Trustees Of The University Of Illinois	3072422716	891	1 Illini Dr Peoria, IL - 616052576 Ph: 3096718484	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brinda Mukesh Mehta are as mentioned. Primary taxonomy code for Brinda Mukesh Mehta, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	036.142777	IL
2080P0207X	Pediatrics Pediatric Hematology-Oncology	No	01074184A	IN
390200000X	Student in an Organized Health Care Education/Training Program	No	BP10039198	TX

Other Practice Locations:

Practice Address	City, State	Phone Number
40 SUNSHINE COTTAGE RD, SKYLINE DRIVE, ROOM NUMBER 1N-J08 VALHALLA, NY, 10595-1524 United States	VALHALLA, NY	361-877-9383

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	530 Ne Glen Oak Avenue, Uicomp Dept Of Pediatrics, Osf North Bldg. Room 5642 Peoria, IL, 61637 United States
Phone Number :	309-655-4746

Business Location:

Patients can refer following map for directions to Brinda Mukesh Mehta practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.