Ronak Mehta, M.D.
Family Medicine in Madison, WI. Individual provider (NPI-1).
NPI number1508132002
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1508132002
- Entity type
- Individual (NPI-1)
- Name
- Ronak Mehta
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2012
- Certification date
- Sep 2, 2022
- Last updated
- Sep 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 71546 | WI | Yes |
Practice location
1620 Waunona WayMadison, WI 53713-1710
Phone 608-839-3104
Mailing address
1620 Waunona WayMadison, WI 53713-1710
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