Ketan C Mehta is a Specialist in Santa Rosa, California. Ketan C Mehta practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ketan C Mehta is 1942331608. The last update date is 2011-01-13.
Ketan C Mehta's current location address is 3867 Montgomery Dr, Santa Rosa, California. You can contact this provider via phone number 7075253780 and fax number 7075253783. The mailing address for Ketan C Mehta is 3867 Montgomery Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ketan C Mehta |
|---|---|
| Address | 3867 Montgomery Dr, Santa Rosa, California |
| Phone Number | 7075253780 |
| Fax Number | 7075253783 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942331608 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2011-01-13 |
Provider Mailing Address Detail
| Address | 3867 Montgomery Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954055244 |
| Phone Number | 7075253780 |
| Fax Number | 7075253783 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A41306 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A413060 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ketan C Mehta by the Centers for Medicare & Medicaid Services?
The Ketan C Mehta has been issued the NPI (National Provider Identifier) 1942331608, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ketan C Mehta?
The Ketan C Mehta is situated at 3867 Montgomery Dr, in the city of Santa Rosa, state of CA, with the zip code 954055244.
What is Ketan C Mehta's area of expertise and its corresponding taxonomy classification?
The Ketan C Mehta's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942331608 to Ketan C Mehta?
The Centers for Medicare & Medicaid Services originally issued the 1942331608 to Ketan C Mehta on 2007-03-07.
When was the information regarding Ketan C Mehta, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ketan C Mehta, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-01-13.