Ketan C Mehta
Neonatal-Perinatal Doctor
4123 Dutchmans Ln Ste 301
Louisville
, Kentucky 40207-4721
Ketan C Mehta
Neonatal-Perinatal Doctor
4123 Dutchmans Ln Ste 301
Louisville
, Kentucky 40207-4721
(502) 272-5116
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Ketan C Mehta
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Fax : (502) 272-5116
- Phone : (502) 588-9490
Second Address
- Ketan C Mehta
- 4123 Dutchmans Ln Ste 301
- Louisville, KY
- Zip : 40207-4721
- Fax : (502) 896-2527
- Phone : (502) 896-2500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 35280 | KY |
National Provider Identifier
| NPI | 1144298316 |
|---|---|
| Provider Name | Ketan C Mehta |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Louisville, KY 40207-4721 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2006 |
| Last Update Date | 30/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000744506 | ANTHEM- KCNS (01) | KY |
| 200308050 | (05) | IN |
| 50035400 | PASSPORT- KCNS (01) | KY |
| 64957509 | (05) | KY |
| H26928 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.