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Mr. Pradeep K Mehta, MD
Nephrology Physician in Springfield, Illinois
NPI 1366414443

Pradeep K Mehta is a Nephrology Physician based in Springfield, IL and is specialized in Nephrology. Pradeep K Mehta practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Pradeep K Mehta is 1366414443 and holds a License No. 036-050314 (Illinois).

The current practice location address for Pradeep K Mehta is 3401 Conifer Dr, Springfield, IL and can be reached out via phone at 217-726-0967 and via fax at 217-726-7633.

Location: 3401 Conifer Dr, Springfield, IL, 62711-8300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366414443
Provider Name
Pradeep K Mehta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3401 Conifer Dr, Springfield, IL, 62711-8300
Phone Number
217-726-0967
Fax Number
217-726-7633
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136860 01 HEALTHLINK CIGNA
390002369 01 RAILROAD MEDICARE
336-015704 01 IL IL CONTROLLED SUBSTANCE
036050314 01 BLUE CROSS BLUE SHIELD
44741 01 GHP
036-050314 05 IL
institution
Provider Business Practice Location Address Details
Address
3401 Conifer Dr
City
Springfield
State
Illinois
Zip
62711-8300
Phone Number
217-726-0967
Fax Number
217-726-7633
person
Provider Business Mailing Address Details
Address
3401 Conifer Dr
City
Springfield
State
Illinois
Zip
62711-8300
Phone Number
217-726-0967
Fax Number
217-726-7633
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
036-050314 (Illinois)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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