Individual
RONAK MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1620 WAUNONA WAY, MADISON, WI 53713-1710
(608) 839-3104
Mailing address
1620 WAUNONA WAY, MADISON, WI 53713-1710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71546
WI
Other
Enumeration date
03/28/2012
Last updated
09/02/2022
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