Organization
KAUTILYA A MEHTA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAUTILYA A MEHTA M.D. (PRESIDENT)
(405) 232-2178
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, OKLAHOMA CITY, OK 73102-1068
(405) 232-2178
(405) 232-6617
Mailing address
608 NW 9TH ST, OKLAHOMA CITY, OK 73102-1068
(405) 232-2178
(405) 232-6617
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
12793
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024920A
—
OK
Enumeration date
06/11/2008
Last updated
06/11/2008
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