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1144298316
KETAN C MEHTA
LOUISVILLE, KY
NPI
1144298316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: KY 35280)
Enumeration Date
2006-03-14
Last Update Date
2019-10-30
Business Address
KETAN C MEHTA M.D.
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY 40207-4721
Phone number: 502-896-2500
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Mailing Address
KETAN C MEHTA M.D.
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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