MR. SANDEEP MAGANLAL MEHTA (NPI# 1902021132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902021132 |
| Entity Type | Individual |
| Full Name | MR. SANDEEP MAGANLAL MEHTA |
| Credential | RPH |
| Practice Address |
955 S Bailey Ave South Haven MI 49090-9701 |
| Mailing Address |
1039 Michigan Ave South Haven MI 49090-1533 |
| Practice Telephone | 2696392858 |
| Practice Fax Number | 2696392860 |
| Mailing Telephone | 2698415656 |
| Mailing Fax Number | 2698415656 |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302035514 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558300319 | Sandeep D. Mehta | Internal Medicine | 767 Park Ave W Ste 260, Highland Park, IL 60035-2471 | 2006-06-06 |
| 1124447271 | Sandeep Mehta | Urology | 9230 Katy Fwy Ste 510, Houston, TX 77055-7467 | 2014-04-15 |
| 1376962837 | Sandeep Mehta | Optometrist | 4885 Eldorado Pkwy, Frisco, TX 75033-8662 | 2014-04-14 |
| 1780939967 | Sandeep Rajan Mehta | Internal Medicine | 9898 Genesee Ave, La Jolla, CA 92037 | 2012-07-13 |
| Street Address |
955 S BAILEY AVE |
| City | SOUTH HAVEN |
| State | MI |
| Zip Code | 49090-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256449 | William Dean Gilmer | Nurse Anesthetist, Certified Registered | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2005-09-26 |
| 1184245342 | Lynn Yvette Sharpe | Physical Therapist | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2020-04-29 |
| 1174142442 | Kim House | Dietitian, Registered | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2020-04-15 |
| 1447803366 | Josiah Griffore | Physical Therapist | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2019-07-19 |
| 1639730948 | Scott Eric Smith | Occupational Therapist | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2019-06-26 |
| 1083114532 | Sarah R Rucano | Specialist/Technologist | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2018-02-20 |
| 1356718761 | South Haven Community Health System | General Acute Care Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2015-09-01 |
| 1215312202 | Katrina Nichole Barrett | Nurse Practitioner | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2015-07-20 |
| 1841698917 | Christopher Wendling | Specialist/Technologist | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2014-12-05 |
| 1952742603 | Andrew Josiah Rife | Physician Assistant | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2013-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295234490 | Katara Therapy, LLC | Social Worker | 13560 76th Street, Suite 3, South Haven, MI 49090 | 2018-02-03 |
| 1487022091 | Kevin E. Ferrell | Physician Assistant | 955 S. Bailey Avenue, South Haven, MI 49090 | 2015-09-14 |
| 1942638002 | Birdie Farley | Chore Provider | 26725 M-140 Hwy, South Haven, MI 49090 | 2013-10-28 |
| 1730514910 | Rebecca A. Bennett | Counselor | 1675 Phoenix Road, Suite 9, South Haven, MI 49090 | 2013-09-06 |
| 1902149818 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2013-03-28 |
| 1265629927 | Cecilia Liz Vives Vasquez | Physical Therapist | 23701 Red Arrow Hwy, Mattawan, MI 49090 | 2007-09-26 |
| 1518089788 | Donald Jam,es Buckley | Pharmacist | 955 S Bailey, South Haven, MI 49090 | 2007-04-06 |
| 1366568966 | Norman M Maly | Dentist | 05055 Blue Star Hwy, South Haven, MI 49090 | 2007-03-22 |
| 1639264062 | Deborah Sue Distefano | Pharmacy Technician | 512 Phoenix Street, South Haven, MI 49090 | 2006-10-03 |
| 1053357897 | Stephen Earl Tolen | Chiropractor | 325 Superior St., South Haven, MI 49090 | 2006-06-21 |
| Find all providers in zip 49090 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821564311 | Carly Anastacia Greenhoe | Pharmacist | 08337 M 140 Ste 2, South Haven, MI 49090-1990 | 2018-10-23 |
| 1518089788 | Donald Jam,es Buckley | Pharmacist | 955 S Bailey, South Haven, MI 49090 | 2007-04-06 |
| 1144375601 | James Frederick Tinklenberg | Pharmacist | 08337 M-140, Unit #2, South Haven, MI 49090-1660 | 2007-01-24 |
| 1487765061 | Laura J. Pardike | Pharmacist | 1223 Phoenix St, South Haven, MI 49090-1443 | 2006-08-31 |
| 1952926958 | Jeffrey Bryan Hungerford | Pharmacist | 1100 Phoenix St, South Haven, MI 49090-7912 | 2020-06-15 |
| 1205388758 | Alyssa Osika | Pharmacist | 1223 Phoenix St, South Haven, MI 49090-7911 | 2016-11-01 |
| 1881045607 | Rajesh Kumar Kanubhai Patel | Pharmacist | 201 73rd St, South Haven, MI 49090-7907 | 2016-06-22 |
| 1720438450 | Kashif Qamer | Pharmacist | 201 73rd St, South Haven, MI 49090-7907 | 2016-06-14 |
| 1356516538 | William Watt | Pharmacist | 1100 Phoenix St, South Haven, MI 49090-7912 | 2008-04-28 |
| 1255443339 | Birgit Erickson | Pharmacist | 512 Phoenix St, South Haven, MI 49090-1443 | 2006-08-31 |
| Find all providers in SOUTH HAVEN | ||||
| City | SOUTH HAVEN |
| Zip Code | 49090 |
Please comment or provide details below to improve the information on MR. SANDEEP MAGANLAL MEHTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.