Individual
DAKSHA P MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
584 WESTPORT RD, STE 101, ELIZABETHTOWN, KY 42701-2987
(270) 769-2535
(270) 769-9020
Mailing address
584 WESTPORT RD, STE 101, ELIZABETHTOWN, KY 42701-2987
(270) 769-2535
(270) 769-9020
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
30757
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64307572
—
KY
Enumeration date
07/22/2005
Last updated
10/26/2020
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