Individual
SANJIV MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4371 NEW SHEPHERDSVILLE RD, BARDSTOWN, KY 40004-8040
(502) 348-5685
(502) 331-4361
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
30440
KY
207X00000X
Orthopaedic Surgery Physician
Primary
30440
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64304405
—
KY
Enumeration date
09/20/2006
Last updated
08/07/2025
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