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Individual

KHYATI PRAVIN MEHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
25845 BARTON RD STE 101, LOMA LINDA, CA 92354-5300
(909) 558-3904
(909) 558-3906
Mailing address
25845 BARTON RD STE 101, LOMA LINDA, CA 92354-5300
(909) 558-3904
(909) 558-3906

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
A139765
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD19347
ME

Other

Enumeration date
03/03/2007
Last updated
05/07/2024
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