Mehta, Ketan C
Mehta, Ketan C is an sole proprietor health care provider with primary practice located at 3867 Montgomery Dr , Santa Rosa CA 95405-5244. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mehta, Ketan C can be contacted via phone (707) 525-3780.Contact Information
Primary practice address
3867 Montgomery Dr
Santa Rosa CA 95405-5244
Phone: (707) 525-3780
Fax: (707) 525-3783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A41306 | California |
Profile Details
| NPI number | 1942331608 |
|---|---|
| LBN Legal business name | Mehta, Ketan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jan 13th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942331608 | NPPES |
| California | MEDICAID | 00A413060 |
Popular Providers
-
Kolman, Bruce Avrom
131B Stony Cir Suite 2000, Santa Rosa CA 95401-9507 -
Suchard, David P
1260 N Dutton Ave Ste 244 , Santa Rosa CA 95401-4672 -
Kayser, Robert Allen
1287 Fulton Rd , Santa Rosa CA 95401-4923 -
Robertson, James
2301 Circadian Way Suite A, Santa Rosa CA 95407-5416 -
Fritz, Benjamin
2301 Circadian Way Suite A, Santa Rosa CA 95407-5416 -
Green, Gopa
2301 Circadian Way Suite A, Santa Rosa CA 95407-5416 -
Sweat, Robert Earle
1111 Sonoma Ave Suite 320, Santa Rosa CA 95405-4819 -
Champion, Lorraine A
3555 Round Barn Cir , Santa Rosa CA 95403