Mehta, Kala R

Mehta, Kala R is an individual health care provider with primary practice located at 1501 N Florence Ave Suite 201, Claremore OK 74017-3179. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Mehta, Kala R can be contacted via phone (918) 343-2728.

Contact Information

Primary practice address
1501 N Florence Ave Suite 201 Claremore OK 74017-3179
Fax: (918) 343-0783
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18536 Oklahoma
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E3856 Arkansas

Profile Details

NPI number 1760479802
LBN Legal business name Mehta, Kala R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jan 28th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760479802 NPPES
Oklahoma MEDICAID 100051980A
Oklahoma MEDICAID 150903001

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