Dr. Prabodh Mehta, M.D.
Internal Medicine, Cardiovascular Disease in Elizabethtown, KY. Individual provider (NPI-1).
NPI number1982606604
StatusActive
Last updated in NPPESSep 15, 2016
Details
- NPI
- 1982606604
- Entity type
- Individual (NPI-1)
- Name
- Dr. Prabodh Mehta
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2005
- Last updated
- Sep 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 30758 | KY | Yes |
Practice location
1324 Woodland Drive,Suite A
Elizabethtown, KY 42701-2746
Phone 270-765-5921 · Fax 270-765-4391
Mailing address
1324 Woodland Drive,Suite A
Elizabethtown, KY 42701-2746
Phone 270-765-5921 · Fax 270-765-4391
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