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1306893375
RENU M. MEHTA
FAIRDALE, KY
NPI
1306893375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 35332)
Enumeration Date
2006-05-27
Last Update Date
2013-04-04
Business Address
RENU M. MEHTA M.D.
900 FAIRDALE RD
FAIRDALE, KY 40118-9731
Phone number: 502-366-8778
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Mailing Address
RENU M. MEHTA M.D.
6801 DIXIE HWY STE 130
LOUISVILLE, KY 40258-3913
Phone number: 502-366-8778
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