Mehta, Ketan C

Mehta, Ketan C is an individual health care provider with primary practice located at 4123 Dutchmans Ln Ste 301 , Louisville KY 40207-4721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Mehta, Ketan C can be contacted via phone (502) 896-2500.

Contact Information

Primary practice address
4123 Dutchmans Ln Ste 301 Louisville KY 40207-4721
Phone: (502) 896-2500
Fax: (502) 896-2527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 35280 Kentucky

Profile Details

NPI number 1144298316
LBN Legal business name Mehta, Ketan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 30th, 2019 - about 5 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 1144298316 NPPES
Kentucky Other 50035400 PASSPORT- KCNS
Kentucky Other 000000744506 PASSPORT- KCNS
Kentucky MEDICAID 200308050 PASSPORT- KCNS
Kentucky MEDICAID 64957509 PASSPORT- KCNS

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