Mehta, Sanjiv

Mehta, Sanjiv is an individual health care provider with primary practice located at 875 Pennsylvania Ave , Bardstown KY 40004-2529. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mehta, Sanjiv can be contacted via phone (502) 348-5685.

Contact Information

Primary practice address
875 Pennsylvania Ave Bardstown KY 40004-2529
Phone: (502) 348-5685
Fax: (502) 331-4361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 30440 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 30440 Kentucky

Profile Details

NPI number 1013014133
LBN Legal business name Mehta, Sanjiv
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 18th, 2024 - about last year

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 1013014133 NPPES
Kentucky MEDICAID 64304405

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