Ketan Mehta, M.D

NPI 1942331608 · on the registry since 2007 · sole proprietor

Practice

Address: 3867 Montgomery Dr
Santa Rosa, CA 95405
Phone: (707) 525-3780
Fax: (707) 525-3783
Organisation at this address: Northern California Medical Assoc Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California