Individual
DR. RAVINDRA L MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103
(619) 543-6248
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A48361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A483610
—
CA
Enumeration date
10/23/2006
Last updated
07/09/2018
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