Mehta, Gaurav Suresh

Mehta, Gaurav Suresh is an individual health care provider with primary practice located at 1027 Washington Avenue , Detroit Lakes MN 56501-3409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mehta, Gaurav Suresh can be contacted via phone (218) 847-5611.

Contact Information

Primary practice address
1027 Washington Avenue Detroit Lakes MN 56501-3409
Phone: (218) 847-5611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BP10058334 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 64848 Minnesota

Profile Details

NPI number 1043519796
LBN Legal business name Mehta, Gaurav Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2011
Last updated Apr 3rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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