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Dr. Ketan C Mehta, MD
Specialist in Santa Rosa, California
NPI 1942331608

Ketan C Mehta is a Specialist based in Santa Rosa, CA. Ketan C Mehta practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Ketan C Mehta is 1942331608 and holds a License No. A41306 (California).

The current practice location address for Ketan C Mehta is 3867 Montgomery Dr, Santa Rosa, CA and can be reached out via phone at 707-525-3780 and via fax at 707-525-3783.

Location: 3867 Montgomery Dr, Santa Rosa, CA, 95405-5244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942331608
Provider Name
Ketan C Mehta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3867 Montgomery Dr, Santa Rosa, CA, 95405-5244
Phone Number
707-525-3780
Fax Number
707-525-3783
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A413060 05 CA
institution
Provider Business Practice Location Address Details
Address
3867 Montgomery Dr
City
Santa Rosa
State
California
Zip
95405-5244
Phone Number
707-525-3780
Fax Number
707-525-3783
person
Provider Business Mailing Address Details
Address
3867 Montgomery Dr
City
Santa Rosa
State
California
Zip
95405-5244
Phone Number
707-525-3780
Fax Number
707-525-3783
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A41306 (California)
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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