Provider Demographics
NPI:1245393586
Name:MEHTA, RITVIK PRAKASH (MD)
Entity Type:Individual
Prefix:DR
First Name:RITVIK
Middle Name:PRAKASH
Last Name:MEHTA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2390 FARADAY AVE
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-7216
Mailing Address - Country:US
Mailing Address - Phone:858-909-0770
Mailing Address - Fax:858-909-0880
Practice Address - Street 1:2390 FARADAY AVE
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7216
Practice Address - Country:US
Practice Address - Phone:858-909-0770
Practice Address - Fax:858-909-0880
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2019-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA93336207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery