Individual
MR. GAURAV SUDHIR MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2531 CHESTER AVE, BAKERSFIELD, CA 93301-2012
(661) 337-7064
Mailing address
2531 CHESTER AVE, BAKERSFIELD, CA 93301-2012
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20A15517
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477819621
NPI
MI
Enumeration date
04/02/2012
Last updated
12/03/2021
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